Warranty / Insurance Lodgement Form

1. Your Details

Name *

First

Last

Street *

Suburb *

State *WASAVicNSWQLDACTNTTas

Phone Number *

Email *

Prefered Contact Method

• Phone
• Email

2. Your Caravan Details

Make *

Model *

Registration Plate

VIN *

Chassis number

Claim Type *

• Caravan
• Appliance
• Other

- If Other

Product / Brand

Please Upload your Proof of Purchase (and other files) *

Click or drag files to this area to upload.You can upload up to 8 files.

Fault Details

3. Your Insurance Details (if Insurance Claim)

Insurance Company

The Insurer that the claim is with

Claim Number

Submit

Please be aware that we are experiencing higher than usual volumes at the moment, and replies may take 7-10 days