Submit a request – Help Centre

Please choose a request type below

Your email address

First Name(optional)

Last Name(optional)

Any aliases that the person might have (or maiden name/married name)(optional)

Date of birth or estimated age(optional)

Phone(optional)

Address(optional)

Date of the insurance claim(optional)

An approximate date is fine.

How do you know this person?(optional)

Message

If we find that the information you have reported relates to another insurer; do you give us permission to pass the information on to the other insurer or the Insurance Council of NZ?

First Name(optional)

Last Name(optional)

Are you happy for a team member to contact you if further information is required

Preferred Contact Method

Email address(optional)

Contact phone(optional)

Subject

Attachments(optional)

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