Business Claim After Hours Emergency/Make Safe:1300 362 515 – HPG MAINTENANCE WORKS Quote client – Lion Insurance Services Date* DD slash MM slash YYYY Policy Number* Client Name* Email* Type of Claim Fire Water Impact Storm Malicious Damage Burglary Money Glass Accidental Damage Damage to Refrigerated Stock General Property Equipment Breakdown Liability Claim DetailsDate of Loss* DD slash MM slash YYYY Time Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code DetailsReported to Police Yes No Report Number CAPTCHA Δ Make a Claim Get a Quote Make a Claim Business Claim Home Claim Motor Claim
