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Insurance Report Form

(Please give us as much info as possible to do your Report)


One of our friendly staff will contact you within 24 hours and organise with you to either bring the computer to out repair center or have a technician attend onsite. Insurance reports are $120.00 if the equipment is dropped off to our repair center otherwise if a technician attends onsite then the cost of the onsite visit will also be payable.

Contact Details
Name: *
Company:
Address: *
Suburb: *
Postcode: *
Email: *
Phone - Home:
Phone - Work:
Phone - Mobile: *
Fax:

Hardware Details
Computer type: *
Manufacturer: *
Model: *
Sub-model:
Age: *
General condition: *
Insurance Event: *
Address of event: *
Date of event: *
What Happened: *

Insurance Details
Insurance company Name: *
Policy number:
Claim number:
Contact person:
Submit report via:
Email address (ins co):
Fax (ins co):

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We are passionate about technology and providing great customer service!

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We provide technology support at your place or via our remote desktop services.
Book our technician today!

Call 1300 723 628 or book online now