Group Personal Accident

Please download claims form, print and fax to:

You will need to attach:

1. Policy Number or Policy Holder Name in full (i.e. Employer, University, Sporting or Volunteer Organisation)
2. Medical Practitioner's Statement completed by a qualified Doctor
3. Proof of Income (Salary) for Weekly Benefit claims
4. Where applicable, receipts for Non-Medicare Medical Expenses and corresponding Private Health Fund Benefit Statements

Group Personal Accident Claim Form