REPORT A CLAIM

Have you had an accident or a loss that you want to report to your Insurer ? Why not do it online .... If you are a client of ACM Ahlers and want to report a loss, then take a few minutes to fill out the information on the form below. We'll contact you within 24 hours to arrange for the processing of your claim and to assist you with repairs etc. Once you have completed the form, please check it to make sure you have the correct details recorded and then press the Submit button at the bottom of the form. If you have any queries at all then please feel free to give us a call on 0800 222 164. This service is only available to clients residing in New Zealand. Any information provided by you is treated as strictly confidential and will not be kept on any database or used by us for any other reason than assisting you with this claim.

Your Details Insured Name   Contact Person   Telephone Number   Email Address   Type of Insurance Policy Please select one ... Motor Vehicle Home and Contents Marine Hull Business Assets Liability Please include the date of loss/damage below:   Day Month Year Loss/Damage Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2009 2010 What happened? Please include a brief account below? Where did it happen? If a Motor Vehicle, please give details? Make   Model   Reg No.   Estimate of Loss Once you have completed this form, please check to make sure you have answered all the questions and that your details are recorded correctly. Then press the Submit button. We will contact you within 24 hours.