Make A Claim

Fields marked with an * are required


Vehicle Details

Drivers Details

Details of Accident or Theft



Third Party Details:(Please complete the following if any other Vehicles were involved or other property damaged)


Declaration: I/We certify, that by submitting this form I/We agree that the information given in is truthful, accurate and complete. No information likely to affect this claim has been withheld. I/We understand that this claim may be refused if information is untrue, inaccurate or concealed.

Fields marked with an * are required

Interested Parties


Incident Description


Description of property
Year Purchased
Where Purchased
Replacement or repair cost
Amount Claimed
ITC % Entitlement



Third Parties

If Yes, Please Complete The Following


If Yes,  Please Complete The Following


Click here to download form

Midland has dedicated claims personal, who will guide you through the claims process from start to finish. Our aim is to make the process as hassle free and painless as possible. If you are a current client with a claim or have become aware of circumstances which may give rise to a claim, please contact us immediately on 03 9349 2733 to lodge a claim. Alternatively you may fill in one of our claim forms below.

For after hours emergency service, please call either 0418 501 885 or 0407 885 670 or your insurer directly.

Contact details for insurers are listed below.

See our Insurer Claims Contact List

Other Emergency Contacts

SES                                         132500

Nationwide Towing          134869

Capital Glass                      131871

O’Brien Glass                      131616

Restoration Companies

Steamatic                           1300 764 344

Electrodry                            1300 724 365

Johns Lyng Group              1300 218 992

Restorx Services                1300 736 333

Bay Building Group           1300 766 216

What To Do In The Event Of A Car Accident – Are There Injuries?

  • Try and stay as calm as possible.
  • Turn off your engine, and put on your Hazard Lights
  • Do not move injured persons, unless they are in immediate physical danger.
  • Keep clear of the accident site
  • Call 000

If There Are No Injuries

  • If vehicles are blocking traffic, try and move them
  • to a safe area if possible.
  • If there is damage to property or a parked car where the owner is not present, notify police.
  • Do not admit liability- let your insurance company take care of these decisions.
  • Get the following details from other drivers:
  • Name, Address, Phone Numbers, License Numbers, Insurer, Make and Model of vehicle.
  • Take photos of the site if possible, and note the positions of vehicles as well as the time of accident and the weather conditions.
  • If there are witnesses to the accident, request their name, phone number and address.
  • If your vehicle is not drivable, call a 13 11 76 and a tow truck will be allocated to you.
  • You may take your vehicle to your preferred repairer.
  • Call Midland Insurance as soon as possible to lodge a claim and if you have any further questions- we are here to help.