Make a Claim > Motor Claim Notification > Motor Claim Notification

Motor Claim Notification

This form allows you to notify WFI of a loss for which you wish to lodge a claim. It is not a claim form. We will contact you for further particulars and to assist you.

Fields marked with an * are required

About You

Surname	*
Other Names	*
Address	*
Postcode	*
Telephone Number (Work)	*
Telephone Number (Home)	*
Email Address	*

About Your Claim

Date	*
Time	*
Name Of Insured	*
Policy Number	*
Renewal Date	*
Vehicle Make	*
Vehicle Year	*
Vehicle Registration	*
Date Of Loss	*
Reported to Police?
Police Station
Where is the vehicle located now?
Was the vehicle towed?
Who was driving the vehicle?	*
Driver's Age	*
Was there a third party involved?
What is the name of the third party?
Description Of Loss	*

Quicklinks

Alliance Partners
Home Building Calculator
Request Information
Request a Quote

Find Your Local Office

Select a state

Call 1300 934 934

Motor Claim Notification

About You

About Your Claim

Quicklinks

Find Your Local Office