OneStop Claim Advice Form

Benshay Pty Ltd | ABN 40 084 496 300 | AFS License No. 476078 | Need Help? - info@osib.com.au or Phone (07) 4152 3711 - Mon - Fri 8:30am to 5:00pm

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Claim Advice Form

Things you'll need before you can complete this form.

Information about the incident/loss or damage, such as the date and time it happened, where the damage occurred, any other people, vehicles or property involved.
Supporting documents such as quotes, repair invoices or repairer reports describing what caused the damage.
Photos to upload (if available)

Once submitted, we will review your claim information and respond within 2 business days.

Remember, take action to prevent further loss or damage and ensure the safety of yourself and those around you.

Should you require urgent assistance please contact our office directly by calling (07) 4152 3711 or after hours on 0411 621 819.

Claim Advice Form

Let us know how to get back to you

Your Full Name*

Your Phone Number*

Your Email Address*

Claim Advice Form

Your Policy Details

Which Policy Number does your claim relate to? This will be listed on your most recent policy schedule/invoice.

Policy Number*

Date of the Loss*

Time of the Loss*

12:00PM

Claim Advice Form

Details of the loss or damage.

Describe your loss, including providing details of the property/vehicle involved and other parties and witnesses.

Description*

Claim Advice Form

Attach your Documents

Please attach copies of any documents you wish to submit such as the photos, original receipts, quote or invoices for the replacement items.

Drag 'n Drop files here

Max file size: 4.77 MB. | Allowed file types: jpeg,jpg,pdf | Max number of files: 8

Select Files

Claim Advice Form

You're done! Click 'Send Your Claim Information' to forward us the details.

Your form has been submitted

Thank you for submitting your cliaim advice.
We have received your message and will respond to you shortly.

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