Letter to Claim from Travel Insurance - Template Form Pro · AU-law

Valid in Australia · drafted to comply with local law

Create your Letter to Claim from Travel Insurance - Template Form for use in Australia. Answer a few plain-English questions and the document fills in automatically as you go — then download it in Word and PDF, ready to sign or share. This version has been professionally rewritten to comply with local law.

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Letter to Claim from Travel Insurance - Template Form
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________
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Date: ________

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RE: TRAVEL INSURANCE CLAIM – POLICY NO. ________


Dear Sir or Madam,

I write to lodge a claim under the above travel insurance policy issued by you (the Policy). This letter constitutes notice of a claim for the purposes of the Policy and is made in accordance with my rights under that contract of insurance, the Insurance Contracts Act 1984 (Cth) and the General Insurance Code of Practice.

1. Claim particulars

Policyholder / Insured: ________

Policy Number: ________

Date Policy commenced: ________

Period of travel insured: ________

Date of Incident: ________

Place of Incident: ________

Description of Incident:

________

Item(s) and loss(es) being claimed:

________

Total amount of claim:

$________ (________)

2. Duty of utmost good faith and disclosure

I confirm that the information set out in this letter and in the enclosed documentation is true and correct to the best of my knowledge and belief, and that I have complied with my duty to act towards you with the utmost good faith as required by section 13 of the Insurance Contracts Act 1984 (Cth). I am not aware of any other insurance policy under which this loss may be claimed, save as follows: ________.

3. Supporting documentation

In support of this claim I enclose the following documentation:

(a) a completed claim form;

(b) a copy of the relevant police or incident report (reference: ________);

(c) receipts, invoices and other evidence of the expenses and losses incurred;

(d) a copy of my travel itinerary and proof of travel;

(e) the following additional enclosures:

________

4. Payment requested

________

5. Further information and complaints

I look forward to your response and to the prompt resolution of this matter. Thank you for your attention.


Yours faithfully,




________

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