Protect IT Acciedental Loss 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
The date the loss occurred
Contact Name
Contact Number
Contact Email
Provide a statutory Declaration signed and witnessed by a member of the police force detailing the events that led to the cause of the loss.
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.
Submit