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Lumley Accident Assist AH: 1800 652 256 - page 1 / 4

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Please complete the form only if you are UTS (University of Technology, Sydney) Staff

motor vehicleclaim form

Lumley General Insurance Limited, ABN 24 000 036 279, Lumley House Level 9, 309 Kent Street, Sydney 2000 Ph: (02) 9248 1111 Fax: (02) 9248 1135

If your vehicle requires towing,please call:

BH: (02) 9248 1111

Lumley Accident Assist AH: 1800 652 256

24 HOURS - 7 DAYSA WEEK

When you call, we will:

  • arrange for the damaged vehicle to be towed to a Lumley Network Repairer

  • arrange for the driver to be returned to their office or residence

  • arrange to have the vehicle quoted,assessed and repaired

  • arrange to have the repaired vehicle returned to the driver

  • provide a guarantee for all repairs completed at a Lumley Network Repairer.

If the vehicle is drivable: Obtain a quotation from a Lumley Network Repairer and book your vehicle in to be repaired at a time convenient to yourself and the repairer.Ask the repairer to contact Lumley and arrange an assessment for the day on which the vehicle is booked in.Where possible, leave a copy of the Claim Form with the repairer prior to it being assessed. If you don't know where the nearest Lumley Network Repairer is located, just ring Lumley or go to our website www.lumley.com.aufor a complete listing.

If there is no damage to your vehicle: Complete your claim form, and post or fax it (with any correspondence received from the other party) to your nearest Lumley office,listed at the bottom of this page.

Privacy We respect your privacy and we comply with the Privacy Act and the National Privacy Principles.A copy of our Privacy Statement is available at any of our offices.

Complaints procedure If you do not agree with any decision we make in relation to the Policy,please write to us stating what you disagree with and why. We will then resolve or attempt to resolve your complaint immediately,or we will refer the matter to our Internal Dispute Resolution Committee (IDRC).

If you are not satisfied with a Claim decision by the IDRC, the matter may be referred to an independent dispute resolution body,Insurance Enquiries and Complaints Limited (IEC), provided the matter falls within their jurisdiction.

The Insurance Contracts Act 1984 (as amended) requires you to provide all information which Lumley may reasonably require,and stipulates that any omission may adversely affect the cover under your Policy.

If you would like more information on your Duty of Disclosure (or any other aspect), please contact your broker or nearest Lumley office.

Lumley General Insurance Limited

NSW

VIC ACT TAS SA WA QLD

NT

Lumley House,Level 9, 309 Kent Street, Sydney 2000 Suite 19, 50 Glebe Road,The Junction 2291 Level 3, 99 King Street, Melbourne 3000 Level 4, Perpetual Building,10 Rudd Street, Canberra City 2601 27 Paterson Street, Launceston 7250 465 Pulteney Street, Adelaide 5000 50 St George'sTerrace,Perth 6000 Level 2, 99 Melbourne Street, Brisbane 4000 Level 5, Northtown Tower,Flinders Mall,Townsville 4810 Level 2, Beagle House,38 Mitchell Street, Darwin 0800

Phone (02) 9248 1111 Phone (02) 4925 7500 Phone (03) 8627 4333 Phone (02) 6279 0333 Phone (03) 6345 4700 Phone (08) 8228 1700 Phone (08) 9220 8222 Phone (07) 3307 4800 Phone (07) 4722 6000 Phone (08) 8946 4600

Fax (02) 9248 1122 Fax (02) 4940 0295 Fax (03) 8627 4312 Fax (02) 6279 0330 Fax (03) 6345 4711 Fax (08) 8228 1777 Fax (08) 9220 8251 Fax (07) 3307 4899 Fax (07) 4724 4398 Fax (08) 8946 4666

1.

LG0030 05/05

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