Protect IT Theft 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 theft occurred
Detailed description of how the theft occurred
Was the theft reported to the police:
Yes
No
Police Station Reported To
Police Report Date of Issue
Police Report No
Contact Name
Contact Number
Contact Email
Attachments
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.
Please note that in order for us to assess your claim, we will require the following to be provided:
A copy of the police report issued
Color photos showing how forcible entry was gained to the premises or vehicle
Submit