Claim Forms
Click on the links below to be taken to the appropriate claim forms:
You will need Adobe Acrobat to read the following downloads. Click here to download the free application.
Engineering claim forms
| All Engineering products | Engineering Claim form |
Liability claim forms
General Liability claim form
A list of our claims specialists and their contact details can be found by clicking here.
Marine claim forms
| Hull | Marine Hull Claim form |
| Cargo | Marine Cargo Claim form Household Removal Claim form |
| Carriers Liability | Carriers Liability Claim form |
| Freight Forwarders Combined Liability | Freight Forwarders Combined Liability Claim form |
| Marine Liability | Due to the complex nature of Liability claims, claim forms are not utilised for Marine Liability claims. Our claim representatives, once contacted, will ensure that all the information required is given. Contact the Marine team on (09) 308 1100 (for brokers north of Taupo) or 0800 922 929 or (04) 473 3640 (for brokers south of Taupo). Alternatively, you can email marine@lumley.co.nz. |
Motor claim forms
| All Motor products | Motor (General) Vehicle Claim form |
Personal Lines claim forms
| Safe and Sound™ | Safe and Sound™ Claim form |
| DrivEasy™ | DrivEasy™ Claim form |
Stationery can be ordered by completing and sending the Stationery Request Form to your nearest branch.
Property claim forms
| Material Damage and Business Interruption | Property Claim form |
| Mortgage Redemption Insurance | Property Claim form |
| Personal Accident and Illness | Personal Accident and Illness Claim form |
| RuralPak™ | Motor (General) Vehicle Claim form Property Claim form |
| TOP PAK™ | Motor (General) Vehicle Claim form Property Claim form |