Protect IT Acciedental Claim
Protection Insurance
for your mobile IT equipment
© Copyright , Virginia Surety Company, Inc | ABN 63 080 339 957 | AFSL 244579.
Details Device Claimed
Original Sales Receipt
(Valid file types are GIF, JPG, JPEG, PNG, or PDF. Maximum allowable file size is 10 Megabytes)
File type or size is invalid. Max size: 10MB.
Product Manufacturer
Full Model Number
Serial Number
Date that damage occurred
Detailed description of how the damage occurred
Description of the damage to the device
Contact Name
Contact Number
Contact Email
Colour photograph showing the damage
Valid file types are GIF, JPG, JPEG, PNG or PDF Maximum allowable file size is 10 Megabyte
File type or size is invalid. Max size: 10MB.
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