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This letter can be used to request further information from an insurer in the event that the insurer rejects an insurance claim.
The document enables users to set out basic facts in relation to a matter (such as the policy name and policy number). It also enables them to request various pieces of information from the insurer (such as expert reports, records of any interviews or statements, and an explanation of the reasons why the claim has been rejected).
For other insurance matters, we also have a number of letters available, including:
How to use this document
Most insurers will have a designated address and email address for internal dispute resolutions. These details may be available on the insurer's website. The letter can then be sent to the insurer using these details.
If the insurers do not respond within 10 days it may be necessary to consider further action with the Australian Financial Complaints Authority, Financial Ombudsman Service, or legal action (such as in the small claims court).
The letter may be sent before commencing any action in court.
In order to prove that the letter was sent, the sender may wish to send it by registered post, or keep a receipt or other proof of posting.
The Sender may also keep a copy for their own records.
The insurance relationship is subject to the principles of contract law and insurance law.
The General Insurance Code of Practice may also apply.
In Australia, general insurance law is affected by the Insurance Act 1973 (Commonwealth), the Insurance Contracts Act 1984 (Commonwealth) and the Corporations Act 2001 (Commonwealth).
The Australian Consumer Law which is contained in Schedule 2 of the Competition and Consumer Act 2010 (Commonwealth) may also apply in some circumstances.
How to modify the template
You fill out a form. The document is created before your eyes as you respond to the questions.
At the end, you receive it in Word and PDF formats. You can modify it and reuse it.