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Windshield Breakage Claim Form Underwriting Agencies of Australia Pty Ltd Po Box 656 Newcastle NSW 2300 glass claims uaa.com.auth issue of this form does not constitute any admission of liability

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How to fill out windscreen breakage claim form

01

To fill out a windscreen breakage claim form, follow these steps:

02

Start by providing your personal details, such as your name, address, contact information, and policy number.

03

Next, input the date and time of the windscreen breakage incident. Include any relevant information about the location and circumstances of the incident.

04

Describe the damage to your windscreen. Be specific about the size, location, and nature of the crack or break.

05

If there were any witnesses to the incident, include their contact information and a brief description of their observations.

06

Provide details about your vehicle, including the make, model, year, and registration number.

07

Attach any supporting documents, such as photographs of the damage or repair receipts, if available.

08

Sign and date the claim form to verify the accuracy of the information provided.

09

Review the completed form to ensure all necessary fields are filled out and the information is correct.

10

Submit the form to your insurance company as instructed, either by mail, fax, email, or through an online portal.

11

Keep a copy of the completed form and any attachments for your records.

Who needs windscreen breakage claim form?

01

Anyone who has experienced windscreen breakage and has insurance coverage for windscreen repairs or replacement needs a windscreen breakage claim form.

02

This form is typically required by insurance companies to initiate the claims process and seek reimbursement for the costs associated with repairing or replacing a damaged windscreen.

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