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Axiom Insurance – Business solutions Chinchilla, Toowoomba, Bell

Axiom Insurance - Business solutions Chinchilla, Toowoomba, Bell

Your Insurance Broker for Chinchilla, Toowoomba and Bell in Queensland. Delivering a range of Insurance products for Business, Commercial and Domestic.

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General Claims

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  • The Insured

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    Details

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  • Incident Details

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  • :
  • eg: Lounge room, ceiling
  • Resultant damage is content or building items that have been affected by the liquid/Water

  • Special Requirements

    If there are any structural or safety concerns; if the property cannot be secured; or if there are any urgent/special requirements please answer the below:
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    Safe Details

  • Do you need help with arranging for an electrician/builder to check on safety of your home
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    Please let us know if there are any people living in the home that require assistance eg: elderly
  • Items Being Claimed

    If this claim is in relation to the following (but not limited to) electrical items, machinery breakdown, pumps, leaking plumbing, etc a repair report from a repairer will be required stating the cause of damage
  • ItemAge of electrical itemsMake/Model 
  • Repairer Details

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    Max. file size: 2 MB.
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      Max. file size: 2 MB.
      • Duty of Disclosure Questions

        In the last 5 years has the Policy Holder
      • Police Details

        Please note a police report will be required for claims including (but not limited to) theft, fire and malicious damage
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        Officer Details

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        Accepted file types: pdf, jpg, docx, Max. file size: 2 MB, Max. files: 4.
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        • Settlement Details **Subject to Insurer Acceptance of Claim

        • Declaration

          I/We declare that to the best of my/our knowledge and belief the information in this form is true and correct and I/we have not withheld any relevant information. I/We understand providing false information could result in this claim and potentially this insurance policy being declined/cancelled.

          I/We consent to the insurance company using my personal information I/we have provided on this form for the purpose of processing my claim. I/We understand that if I/we choose not to provide required details, this is my/our choice, however, the insurance company may not be able to process my claim.

          I/We consent to the insurance company disclosing my personal information to other insurers, an insurance reference service or as required by law. I/We consent to the insurance company also disclosing my personal information to and/or collecting additional information about me, from investigators or legal advisors.

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        • Clear Signature
        Save and Continue Later

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        Chinchilla
        113 Heeney Street, Chinchilla QLD 4413
        PO Box 894
        Tel: 07 4668 9196
        Email: admin@axiominsurance.com.au

        Toowoomba
        106 Campbell Street,
        Toowoomba QLD 4350
        PO Box 962
        Tel: 07 4638 8600
        Email: admin@axiominsurance.com.au

        Bell
        32 Dennis Street, Bell QLD 4408
        Tel: 07 4663 1000
        Email: admin@axiominsurance.com.au

        Goondiwindi
        34 Marshall Street, Goondiwindi QLD 4390
        PO Box 7
        Tel: 07 4671 4296
        Email: admin@axiominsurance.com.au

        Axiom Insurance Broker Pty Ltd (AFSL 478428) ABN 37606463585

        General advice on this website has been prepared without taking into account your objectives, financial situation or needs. Before acting on the advice, consider its appropriateness. Consider our disclosure documents, which include our FSG and Product Disclosure Statements (PDS) for some products.

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