Make a Claim

For policies effective up to 31 March 2018 and insured by Great Lakes Australia.

Declaration wording:

I declare that:

  1. I am authorised to submit this claim as:
    (a)    The insured person;
    (b)    A broker who has been appointed as the agent of the insured person; or
    (c)    An authorised representative of the insured person or insured company;
  2. I am authorised to provide this information to you for the purpose of making this claim. If I am providing personal information of another person, I have made them aware of Calibre Insurance’s privacy collection statement and Great Lakes Australia’s privacy statement (both referred to below) and I declare that the relevant person has agreed to their personal information being collected, used and disclosed in accordance with the collection statement and the privacy statement; and
  3. to the best of my knowledge and belief, the information in this form is true, accurate and complete and I understand the claim may be refused or reduced if information is withheld, misleading or untrue.

I understand that I may have to provide relevant documentation to enable complete consideration of my claim.

I consent to Calibre Insurance, Great Lakes Australia and their agents using the personal information I have provided on this form for the purposes of processing my claim, compile and analyse data, and resolve claims disputes.  If you do not provide this information to us we may not be able to process this claim.

I consent to Calibre Insurance, Great Lakes Australia and their agents obtaining or disclosing my personal information to the parties listed in the relevant entity’s privacy statement or privacy policy (as applicable), such as to  other insurers, insurance reference bureaus, credit reporting agencies, loss adjusters, investigators, lawyers, health service providers, investigators, overseas entities or as required by law to do so.

In accordance with Calibre Insurance’s and Great Lakes Australia’s Company’s Privacy Policy, you have the right to seek access to your personal information and to request that we correct any errors.

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Privacy & Compliance

General Code of Practice

As a member of the Insurance Council of Australia, Great Lakes Australia has adopted the General Insurance Code of Practice. The Code sets service standards in the insurance industry, improves the way that claims and complaints are handled, and helps customers better understand how general insurance works.

Please refer to the Calibre Insurance Code of Practice brochure.

For further information visit General Insurance Code of Practice.


Please read our Complaints Procedure outlining our dispute resolution process.

Privacy Statement

We are committed to ensuring your privacy in accordance with the Privacy Act 1988 (‘the Act’) and the Australian Privacy Principles. Please click on this link and see the Calibre Insurance Privacy Policy or contact our Privacy Officer on:
P 1300 306 226
F 1300 559 936
Mail to: Privacy Officer, Locked Bag 2010, St Leonards NSW 1590

Great Lakes Australia’s privacy statement (and Great Lakes Australia’s Privacy Officer’s contact details) can be found on Great Lakes Australia’s website.