Lost or Stolen Device Claim
Please fill out the following details:
Unfortunuately we are unable to continue lodging the claim for you. Please contact the insurance account holder to submit the claim.
Please review the information below, if correct please click the Submit button, otherwise click the Back button to change your information.
Insurance Product:  
First Name:  
Date of birth:  
Photo ID:  
Are you the insurance account holder?  
Driver’s License/Passport Identification Number:  
Daytime contact no:  
After hours contact no:  
Customer Address:  
Were you in possession of device?  
Relationship to account holder:  
Regular User First Name:  
Regular User Surname:  
Regular User date of birth:  
Authorise Regular User on insurance claim?  
Regular User’s Driver’s License/Passport Identification Number:  
Regular User's Photo ID:  
Insured Mobile Number:  
Insured IMEI Number / Serial Number:  
Has your device been exchanged under warranty or repair?  
IMEI Paperwork:  
Make / Model / Colour of insured device:  
Date of Incident:  
Has device been Lost or Stolen?  
Was the device lost or stolen within Australia or whilst Overseas?  
Date you last saw the device:  
Time you last saw the device:  
Where exactly was the device the last time you saw it?  
What was your location the last time you saw the device?  
Date you realised device was missing?  
Time you realised device was missing?  
Your location when you realised device was missing:  
Detailed explanation of events:  
What Mobile Number was in the device:  
What telco network does the this Mobile Number work on?  
Since the loss/theft have you had your SIM card replaced?  
Have you obtained Police incident or event number?  
Police incident or event number:  
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Risk Insure exercises utmost good faith. If at anytime during the claims process it is suspected that anyone is attempting to defraud the insurer, Risk Insure will instigate legal action to prosecute those responsible for fraudulent activity and involve the Australian Federal Police and other relevant Australian Authorities.