Confirmation of Claim Transaction request form|

Please complete and submit the form below to request a Confirmation of Claim Transaction.

*Insured Name *Date of birth *QBE Policy No. *QBE Claim No. *Please select how you would like to receive your Confirmation of Claim Transaction

Email Mail

Your Confirmation of Claim Transaction will be sent to the details as per your policy. If you wish to have your Confirmation of Claim Transaction sent to a different address, please contact our call centre on 133 723.