REIQ Claim

All required fields are marked with an *

  1. Your indemnity insurance
  2. Principal holder
  3. Personal Details

    Please fill out the details of the person completing the notification form.

  4. Full Name of Insured Entity
  5. Contact Details of Insured Entity
  6. Type of Claim
  7. Property Management

    If you are claiming property mismanagement, who is the owner of the property?

  8. Who is making the claim against you?
  9. Claim details
  10. Awareness of the claim / potential claim
  11. When did the event giving rise to the claim happen?
    1. Please provide the name of the person within the firm/company who actually performed the work, or against whom the claim or potential claim is principally directed.

  12. Claim facts and allegations
  13. Have legal proceedings commenced?
  14. Spam check