If you would like to lodge a claim under your insurance, please complete the form below and press “Submit”. We will be in touch with you within the next 2 business days (Monday to Friday). If you would like to speak to one of our claims representatives, please ring iBroker on 1300 389 083 and ask for the Claims Department.

Who owns the device?

Who uses the device?

Where is the device used?

Details of the device

Details of the loss or damage

Declaration

I declare that the information above is true and correct. I agree to allow the Insurance Company and/or their Agents, to discuss details of this claim with the Police, any Insurance and/or Finance Company (and/or their Agents), and if necessary permit the Insurance Company and/or their Agents to utilise this claim form for the purpose of making a Dual Insurance claim against any Insurance Policy that may also cover the lost or damaged device. Where necessary, I also agree to allow the disclosure of any finance Payout & Purchase Figure of the item/s described and the Payment History of any finance contract to be disclosed to the Insurance Company and/or their Agents. Where the user of the device is under 18 years of age, this form has been completed by a parent or guardian in full consultation with the user.