Extended Warranty Claim

Please make your claim details as specific as possible. Further information to support this claim may be required, we will contact you by telephone if necessary.

Your Details

First Name

Last Name

Address (line 1)

Address (line 2)

Suburb

Post Code

Contact Name

Contact Email

Were these details the same at the time you purchased this product?

Yes No

Product Details

Product Manufacturer

Full Model Number

Purchase Price of Item

Who did you purchase this item from?

Please provide one of the following

Serial Number*

Receipt / Invoice Number

Policy / Plan Number

Incident Details

Date that damage occured

Please describe the fault or problem that you are experiencing