Insurance Claim Form.

Please ensure that you complete the Insurance Claim Form below. Once we have received your claim number and details of your insurer, we will take care of contacting them on your behalf to manage the claim process.

Our dedicated team is ready to assist you. Feel free to give us a call on 02 8568 6500. At CCSG, we’re here to provide the answers you need to navigate debt collection with confidence.

CCSG Case Reference Number:(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State Postcode

Mobile Number(Required)

Your Insurers Name(Required)

Your Claim Number(Required)

Has your excess been paid?

Yes

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Insurance Claim Form.

For Consumers

For Corporations

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