Make An Unemployment Claim - Swann Insurance printable pdf download

Make an Unemployment Claim

Thank you for contacting Swann Insurance

You must have access to a printer in order to access this form. If you do not have access to a printer

please contact our office on 1300 657 382 and an alternative will be sent.

HOW TO COMPLETE YOUR UNEMPLOYMENT CLAIM FORM

Your claim form must be completed in full. An incomplete form may cause delay in the

assessment of your claim.

Please ensure:



You (the insured) complete the front page and the first box on the second page of your

unemployment claim form.



That you (the insured) and a witness have both signed and dated your claim form.



Centrelink completes the “Certificate of Centrelink/Job agency” section on your claim form.



Your last employer completes the “Employer’s Declaration” section of your claim form. If you

experience difficulties in completing this section, please attach a copy of your “Employment

Separation” certificate to your claim from.



If your employment ceased more than three (3) months ago, a letter is attached to your claim form

detailing the reason(s) for the late lodgement of your claim.

Other useful information

If you have submitted your claim form and it has been accepted by Swann Insurance, we will require you

to provide ongoing confirmation of your unemployment in order for us to maintain continuous payments to

your financier.

Please advise us on 1300 657 382 if you return to any form of employment during the period you are

claiming for.

It is important that all questions are correctly and fully answered by the policy holder. This will

enable Swann Insurance to proceed with the processing of your claim; delays could occur if the claim is

completed by someone other than the policy holder or if insufficient information is supplied. If for some

reason the policy holder is unable to complete this form, please contact the office to discuss options.

Third Person authority to enquire

If you wish to provide authority for another person to discuss your claim on your behalf, please complete

the attached authorisation and return with your completed claim form.

Fax: 1300 657 370

Email: .au

Post: Locked Bag 3274, Melbourne VIC 3001

The way we handle your personal information

You agree that, by submitting this claim, the personal information you provide to Swann Insurance (Aust)

Pty Ltd (Swann) for the purposes of making this claim, may be collected, held, used and disclosed in the

manner set out in Swann’s Privacy Policy found at , including for the

purposes of the determination and / or settlement of, this claim.

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Make An Unemployment Claim - Swann Insurance