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Form Downloads

Our claims staff can be contacted on the following:

Please remember that it is a condition of your policy to notify claims promptly.

To view and print the following PDF Claim Forms you will need to have "Acrobat Reader" installed, if you do not have Acrobat Reader, this may be downloaded from the Adobe website without any cost.

Motor Vehicle Claim Form
Property Claim Form

AIG Corporate Travel
AIG Directors & Officers Liability
AIG Fidelity

AIG Household Transit

AIG Leisure Travel
AIG Liability
AIG Marine Cargo
AIG Professional Indemnity

Allianz Public Liability

Allianz Global Assist Travel


Chubb Accident & Illness

Chubb Expatriate Medical Expenses

Chubb Travel


Club Auto Motor Vehicle Accident

Club Auto Motor Vehicle Theft

Club Marine Hull

Comprehensive Travel

Covermore Travel A
Covermore Travel B

Lumley Carriers Liability

Lumley Engineering

Lumley Freight Forwarders Liability
Lumley General Liability
Lumley Household Transit
Lumley Marine Cargo
Lumley Marine Hull

Lumley Motor Vehicle Theft
Lumley Personal Accident/Illness

Mariner Marine Hull


New India Liability

New India Machinery Breakdown

New India Marine


NZI Accident & Illness

NZI Cellphone & Portable Electronic Items

NZI Directors & Officers Liability
NZI Marine Cargo
NZI Marine Hull

NZI Motor Vehicle Theft

NZI Professional Indemnity
NZI Public Liability
NZI Travel

Primacy Forestry

QBE Accident & Illness
QBE Carriers Liability
QBE General Liability
QBE Marine Cargo
QBE Marine Hull

QBE Motor Vehicle Theft
QBE Trade Credit
QBE Travel


Sunderland Marine Hull


Vero Accident & Illness
Vero Liability

Vero Livestock

Vero Motor Vehicle Theft

Vero PleasureCraft


Vero Liability Employment Disputes
Vero Liability General Liability

Vero Liability Lawsafe

Vero Liability LegalEdge

Vero Marine Cargo

Vero Marine Carriers Liability

Vero Marine Household Transit
Vero Marine Hull
Vero Marine PleasureCraft

Our Products & Services

We arrange all forms of Insurance products including commercial, liabilities, construction & engineering, rural, personal, life & medical.Our Products & Services

Make a Payment

There are a number of ways you can make payment to BrokerWeb Risk Services Ltd.Make a Payment

Making a Claim

Find out the recommended procedure to take when making a claim and download claim forms.Making a Claim





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