Lodge a Claim

Peninsula Insurance Services
Online Claims Lodgement

To help get your claim underway, we’ve created an our Online Claims Lodgement Form.

Just fill out the details of your claim below, we’ll get you back on your feet again as soon as possible.

If you have any questions, please don’t hesitate to contact our friendly team on 08 8821 1400.

Fax: (08) 88214976

Claim Form
First Name*
Last Name*
Email*
Contact Phone*
State*
Company name (if applicable)
Policy Number
Type of Insurance*
 
 
 
 
 
 
 
 
 
Please provide details of other insurance requirements
Date of Incident
Brief Description of Incident
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Please confirm that you are not a script by entering the letters from the image.

Fax: (08) 88214976


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