Claims - Modern Insurance Brokers

MIB acts on your behalf to lodge, manage and settle your claims.

We have extensive claims management experience, we analyse the Policy Wordings to ensure you receive the maximum payout you are entitled to. During many negotiations we have obtained claims payouts where a decline was initially presented by the insurer.

This is only possible with detailed knowledge of Policy Wordings and experience in negotiating with Insurers.

How to lodge a claim

Claim Lodgement Form

Business Name (Insured Name)*
Policy Number*
Name*
First Last
Email*
Date of Loss*
Date Format: DD slash MM slash YYYY
Time of Loss*

: HH

MM
Address Where Loss Occured*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Describe The Event That Caused The Damage*
Describe The Extent Of The Damage*
Have The Police Been Notified?*
- Yes
- No
If Yes, Please Advise Policy Report Number
Attach Any Quotes or Tax Invoices For Repairs
Attach Any Quotes or Tax Invoices For Repairs
Attach Any Quotes or Tax Invoices For Repairs
I Declare That The Information Supplied On This Claim Form and Statement Of Claim Is True In Every Respect*
- Yes
Name
This field is for validation purposes and should be left unchanged.