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Public & Products Liability Claim

Use this form to notify KIB Group of an incident, allegation, complaint, demand or potential claim involving personal injury, property damage, your business activities or a product you manufactured, sold, supplied, installed, repaired or distributed. Submitting this form does not mean that liability has been accepted or that insurance cover has been confirmed.

Insured Business Details

Do not admit liability, offer payment, negotiate a settlement or respond to a legal demand without first speaking with KIB Group or the insurer.

Forward all correspondence immediately.

Insured business name*

Trading name

Optional

ABN

Policy number

Optional

Business address*

Contact person*

Position within the business*

Email address*

Phone number*

Preferred contact method*

Is the business registered for GST?*

YesNo