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Claims

Midland offers a wide variety of services, from personal and risk insurance, through to property and business and even travel insurances. Whatever you need to secure, Midland has the product for you. Simply click on anyone of the listings to the right to be taken to the appropriate page. Or you can contact us for a no obligation quote or excellent advice on whatever it is you require.

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Claims

Claims 

Compliance

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Make a Motor Claim

Fields marked with an * are required

GST

YesNo

Vehicle Details

Drivers Details

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

Details of Accident or Theft



WetDrySealedUnsealed

YesNo

Theft:

YesNo

YesNo

YesNo

YesNo

YesNo

Witnesses:

YesNo

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

History:


YesNo

YesNo

YesNo

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.

Make a General Online Claim

Fields marked with an * are required

GST

YesNo

Vehicle Details

Drivers Details

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

Details of Accident or Theft



WetDrySealedUnsealed

YesNo

Theft:

YesNo

YesNo

YesNo

YesNo

YesNo

Witnesses:

YesNo

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

History:


YesNo

YesNo

YesNo

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.

Midland Insurance Disability Plan

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Midland Insurance Brokers Australia Pty Ltd
ABN 81 006 528 329 AFSL 238963
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