Important Information:

In the event of severe weather or natural disasters in the holiday season, the claims response teams are ready and prepared to assist our customers and brokers.

Once safe to do so please contact us directly for assistance, or lodge your claim online for your Motor and Property claims.

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Call 132 687 for all claims

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Western Australia

 

Claim forms for email, postal or fax lodgements

Workers Compensation Claim Form 345 KB, pdf When an injured worker sustains an injury, the Workers Compensation Claim Form needs to be completed by the injured worker to enable them to lodge a claim for Workers Compensation. Upon completion the injured worker is required to provide the claim form along with the First Medical Certificate to the Employer so that they can then lodge it with the Insurer.
Employer's Report of Injury Claim Form 211 KB, pdf The Employer’s Report Form is to be completed by the Employer once an injured worker lodges a claim for Workers compensation. The claim form assists the Insurer in the decision making process.
Injury on the Journey Claim Form WA 238 KB, pdf The Form is required to be completed when a worker is involved in a Motor Vehicle Accident whilst they are in their employment.
Recurrence / Aggravation of Injury Claim Form 225 KB, pdf The Recurrence / Aggravation of Injury Claim Form needs to be completed by the injured worker if they sustain a recurrence or aggravation of the original injury.
Workplace Fatality Claim Form 460 KB, pdf When a worker has died as a result of a work related injury a claim for compensation can be made by the worker’s dependants under the Workers Compensation and Injury Act 1981. The dependant is required to complete the Workplace Fatality Claim Form and provide this to the Employer to lodge with the Insurer.
WorkCover return to work program template 60 KB, docx The Return to Work Program Template is required to be completed by the Employer when an injured worker is back at work on light/restricted duties. The program is signed by both the Employer and the injured worker.
Work Restrictions Form 217 KB, pdf This Form is utilised to determine what the injured worker’s capabilities are to be able to perform their normal duties.
Request for Income Compensation Reimbursement Form 185 KB, pdf The Request for Income Compensation Reimbursement Form is to be completed by the Employer so that the Insurer can reimburse the Employer for the time off work that an injured worker has as a result of the injury.
Injury Management System Template 133 KB, pdf The template can be used by the Employer to demonstrate that they have an injury management system and policy in place. The document should be placed where readily accessible by staff.
Section 32 Declaration 186 KB, pdf The Section 32 Declaration needs to be completed by the injured worker if they commence paid work with another employer after making a claim, or while receiving income compensation.
Workers Compensation Important Information 256 KB, pdf Important information for worker’s about privacy, vulnerability and Zurich’s internal dispute resolution process.

Email: wcclaims.wa@zurich.com.au

 Post: Zurich Financial Services, PO Box 442, West Perth WA 6872

 Fax: 08 9261 1390

Tasmania

 

Claim forms for email, postal or fax lodgement

Tasmanian Injury Notification Claim Form 668 KB, pdf This form is required to be completed and forwarded to Zurich Australian Insurance Limited within three (3) days of becoming aware of a work injury that may result in a claim or incapacity to the worker.
Request for Wage Reimbursement 478 KB, pdf The Wages Reimbursement Form is to be completed by the Employer so that the Insurer can reimburse the Employer for the time off work that an injured worker has as a result of the injury.
Travel Expenses Claim Form 85 KB, pdf Travel claims will be paid at the rate prescribed by the Australian Tax Office or as legislated in Tasmania
Notice of Right to Make a Workers Compensation Claim Form  pdf Your employer must inform you of your right to make a workers compensation claim and give you a Notice of Right to Make a Workers Compensation Claim form within 14 days of you telling them about your injury
Dependents of Deceased Workers Claim Form  pdf This form is required to make a claim for compensation by a dependant of a worker who has died as a result of a work related injury or disease.
Workers Compensation Claim Form (Tasmania)  pdf This form is required to make a workers compensation claim for your work-related injury. It includes a worker section for you to complete, and a section for your employer to complete.

Email: wcclaims.tas@zurich.com.au

 Post: Zurich Financial Services, GPO Box 801 Canberra ACT 2601

 Fax: 1800 074 778

Call 02 6247 3766

Australian Capital Territory

 

  • From 4:00pm 30 September 2022 Zurich will no longer offer Workers Compensation Insurance in ACT. Zurich will continue to support our existing ACT customers during the run-off period and are working closely with WorkSafe ACT to ensure a smooth transition. Visit WorkSafe ACT for more details.
  • Western Australia and Tasmania are unaffected, and Zurich remains committed to providing Workers Compensation Insurance in those states
  • If you have an insurance broker, we suggest that you speak to them to assist with your future Workers Compensation needs. If you do not have an insurance broker, visit WorkSafe ACT to find a licensed insurer. 
Find out more

Claim forms for email, postal or fax lodgement

Early Injury Notification Form 97 KB, pdf The employer uses this form to provide information about an injury to Zurich within 48 hours of an injury occurring.
ACT - Employees Compensation Claim Form 511 KB, pdf When an injured worker sustains an injury, the Employees’ Compensation Claim Form needs to be completed by the injured worker to enable them to lodge a claim for Workers Compensation. Upon completion the injured worker is required to provide the claim form along with the Certificate of Capacity to the Employer so that they can then lodge it with the Insurer.
Injury on the journey claim form - ACT 569 KB, pdf The Form is required to be completed when a worker is involved in a Motor Vehicle Accident whilst they are in their employment.

Email: wcclaims.act@zurich.com.au

 Post: Zurich Financial Services, GPO Box 801 Canberra ACT 2601

 Fax: 1800 074 778

Call 02 6247 3766

Claim forms for email or postal lodgement

Personal Accident / Sickness Insurance Claim form 552 KB, pdf
Group Journey Injury Insurance Claim form 698 KB, pdf
Golf - Personal Accident Claim form 61 KB, pdf

Email: ah.claims@zurich.com.au

 Post: Zurich Financial Services, Locked Bag 2138, North Sydney NSW 2059

 Fax: 02 9995 4093

Call 132 687

Claims forms for email, postal or fax lodgement

Liability Claim form 984 KB, pdf

Liability - Property Damage Claims Email: pdl.claims@zurich.com.au

Liability - Bodily Injury Claims Email: liability.claims@zurich.com.au

 Post: Zurich Financial Services, Locked Bag 2138, North Sydney NSW 2059

 Fax: 1800 284 929

Call 132 687

New fast-track settlement service for eligible liability claims.

Less complex, low value claims are now fast-tracked by a specialist team. When all the supporting documents are provided along with bank account details, we aim to process these eligible claims within 5 business days. 

Emergency Travel Assist: +61 2 8907 5671 

Claim forms for email or postal lodgement

Business Travel Insurance Claim form 565 KB, pdf
Corporate Travel Insurance Claim Form 709 KB, pdf

Email: ah.claims@zurich.com.au

 Post: Zurich Financial Services, Locked Bag 2138, North Sydney NSW 2059

Call 132 687

Professional Indemnity, Directors and Officers, Employment Practices, Management Liability

Financial Lines Claims can be made under any products such as Directors and Officers Liability, Councillors and Officers Liability, Professional Indemnity, Crime and Employment Practices Liability. The range of claims that can occur is very broad. To assist you in making a claim under a Financial Lines Product we have developed a range of Claim Forms and Guidelines which can assist.

Claim forms for email or postal lodgement

Professional Indemnity Insurance Claim Form 908 KB, pdf
Directors and Officers Liability Insurance Claim Form 887 KB, pdf
Employment Practices Liability Claim Form 847 KB, pdf

Email: fl.claims@zurich.com.au

 Post: The Claims Manager, Financial Lines Claims, PO Box 677, North Sydney NSW 2059

Call 132 687

Guidelines
Directors and Officers' Liability Claims Reporting Guidelines 571 KB, pdf
Professional Indemnity Claims Reporting Guidelines 590 KB, pdf
Councillors and Officers Liability Claims Reporting Guidelines 609 KB, pdf
Employment Practices Liability Claims Reporting Guidelines 586 KB, pdf
Commercial Crime Insurance Reporting Guidelines 593 KB, pdf

Claim forms for email, postal or fax lodgement

Golf - Legal Liability Claim form 599 KB, pdf
Golf - Sporting Equipment Claim form 692 KB, pdf

Liability - Property Damage Only Email: pdl.claims@zurich.com.au

Liability Email: liability.claims@zurich.com.au

 Post: Zurich Financial Services, Locked Bag 2138, North Sydney NSW 2059

 Fax: 1800 284 929

Call 132 687

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When it comes to claims, Zurich delivers

Zurich’s claims team is dedicated to helping customers get back to business promptly, and has the credentials to show for it, including:

  • An average 4.5 stars out of 5 claims rating (claimscomparison.com)
  • Australian General Insurer Claims Team of the Year (2019 Insurance Business Awards)

More on Zurich claims

General Insurance Factsheet 194 KB, pdf

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Zurich General Insurance Family Violence Policy 107 KB, pdf

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