Landlords Claim Form - Allianz (Page 4 of 4) in pdf

Landlords Claim Form - Allianz Page 4

Privacy: The Privacy Act 1988 requires us to tell you that

as other insurers, reinsurers, loss adjusters, external

as an insurer we collect your personal and sensitive

claims data collectors, investigators and agents or other

information in order to calculate your loss and

parties as required by law. We limit the use and

entitlements, determine our liability, compile data and

disclosure of any personal information provided by us to

handle claims.

them to the specific purpose for which we supplied it.

We disclose personal information to third parties who

You have the right to seek access to your personal

we believe are necessary to assist us and them in

information and to correct it at any time. Please contact

providing the relevant services and products. For

us on 1300 360 529 EST 9am-5pm, Monday-Friday and

example, in handling claims, we may have to disclose

advise us of the changes.

your personal and other information to third parties such

IDR Statement: Disputes are not an everyday

If you are not satisfied with the outcome of this process,

occurrence at Allianz. However we do provide an

we will advise you how to contact the insurance

internal dispute resolution process should any dispute

industry’s external independent complaints scheme

arise. Please feel free to ask for details.

(subject to eligibility).

Privacy Declaration: I/We acknowledge that I/we have

I/We acknowledge that if I/we do not agree to the

read and understood the Privacy Act 1988 information

collection of this personal and sensitive information then

referred to above and consent to the collection, storage,

Allianz will be unable to process my/our claim.

use and disclosure of personal and sensitive information

of all persons affected by this claim, with their approval.

Signature of Insured

Date

Landlords Claim Form - Allianz Page 4