After Hours Claim Form If you require urgent broker advice outside of office hours, please complete the form below and one of our brokers will contact you within 2 hours*. In most instances we will only be able to advise you of temporary measures to minimise further loss until your insurer can be contacted. *(Please note: Notification of insurance claims using the online service during the hours of 9pm-7am will not be responded to within the 2 hour time frame.) Insured Name*Email Address* Contact Telephone*Name of Broker if knownDescription of LossWhat is 10 + 8 ?Spam SecurityCommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.