Allianz Property Claims

Fast track your glass claim on 13 16 16
Glass only claim? No forms to complete, just have your policy number ready and you can call O'Brien Glass on
13 16 16
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Important information
I have read and accepted the Declaration and Privacy Conditions: * Yes No
Policyholder details
Policy number:
Your name: *
Your postal address (line 1): *
Your postal address (line 2):
Suburb: *
State: *
Postcode: *
Contact name (if you are not the contact person):
Preferred method of contact: *
Email:
Phone:
Alternative Phone:
Fax:
GST details
Are you registered for GST? * Yes No
Claim details
What type of claim are you making? * Help

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