Claim Form
Please find below the LGIS claim forms. Please refer to the relevent section for more information on submitting the different claim types.
General
Claims
- Application for expenses reimbursement form (pdf)
- Bushfire attending physician statement (pdf)
- Bushfire claim form (pdf)
- Bushfire declaration (pdf)
- Claimant statements (pdf)
- Employee business travel claim form (pdf)
- Employer's report form (pdf)
- Employer's statement (pdf)
- Income protection claim form (pdf)
- Journey injury claim form (pdf)
- Marine cargo claim form (pdf)
- Marine hull commercial vero claim form (pdf)
- Motor Vehicle Claim Form
- Personal accident claim form (pdf)
- Procedures (pdf)
- Professional indemnity claim form (pdf)
- Property Bushfire Claim Form (pdf)
- Property claim form (pdf)
- Public liability claim form (pdf)
- Recurrence of disability claim form (pdf)
- Vehicle accident release form (pdf)
- Wage reimbursement schedule (pdf)
- Witness statements (pdf)
- Workers compensation claim form (2B) (pdf)
- Zurich personal accident claim form (pdf)