Claim Forms

Please find below the LGIS claim forms.  Please refer to the relevent section for more information on submitting the different claim types.

General

• ​EFT authorisation form (pdf)​

Forms & FAQs

Bushfire

• Bushfire attending physician statement (pdf)
• Bushfire injury claim form (pdf)
• Bushfire injury control officer declaration (pdf)
• Property and Bushfire Volunteer FAQ
• Property Bushfire Claim Form (pdf)
  

Liability

• Cyber claim protocol and Chubb hotline flyer
• Liability and Professional Indeminity Claims FAQ
• Management Liability Protection FAQ
• Pollution Legal Liability Protection FAQ
• Professional indemnity claim form (pdf)
• Public liability claim form (pdf)

Motor

• Motor Vehicle Claims FAQ
• Motor Vehicle Claim Form with BFV Dec.

Non Scheme 

• Marine cargo claim form (pdf)
• Marine hull commercial vero claim form (pdf)

Property

• Property claim form with bushfire declaration

WorkCare

• ​New workers compensation act FAQ
• Application for expenses reimbursement
• Claimant statements (pdf)
• Employer report form
• Employer's statement (pdf)
• Income protection claim form (pdf)
• Journey injury claim form (pdf)
• Noise induced hearing loss claim form
• Recurrence of disability claim form (pdf)
• Secondary employment form
• Travel claim form (pdf)
• Vehicle accident release form (pdf)
• Voluntary worker claim form (pdf)
• Wage reimbursement form (pdf)
• Wage reimbursement form (excel)
• Workers compensation claim form
• Workcover return to work form
• Zurich Personal Accident claim form