Insurance Claim Form - Archers Body Corporate Management

Body Corporate Name (Name of Building)*

CTS (Community Titles Scheme Number)

Address where damage occurred (including unit/lot number if applicable)*

Date of loss/incident (dd/mm/yyyy)*

Brief description of damage or loss*

Attach quotation / invoice

Contact Name*

Please select the applicable office

Home*

Business

Mobile*

Fax

Email

For mailicious damage claims please provide the following:

Date Reported to Police

Police Station / Officer's Name

Police Report Number

I hereby declare that the submitted information is true and correct*

* Denotes a required field

ARCHERS - connecting strata communities