You have had an accident or a loss that you want to report to your Insurer? Why not do it online...

If you are a client of Hurford Parker and want to report a loss, then take a few minutes to fill out the information on the form below.

We'll contact you within 24 hours to arrange for the processing of your claim and to assist you with repairs etc. For URGENT IMMEDIATE response out-of-hours please phone our after hours numbers

Once you have completed the form, please check it to make sure you have the correct details recorded and then press the Submit button at the bottom of the form. If you have any queries at all then please feel free to give us a call on 06 876 05 13.

This service is only available to clients residing in New Zealand. Any information provided by you is treated as strictly confidential and will not be kept in any database or used for any other reason other than assisting you with this claim

Insured Name:
Contact Person:
Phone Number:
Email Address:			Client Number:

Date of Loss / Damage:	12345678910111213141516171819202122232425262728293031 January February March April May June July August September October November December 2010
Brief details of damaged goods / vehicle:
What happened (please give a brief account)?:
Present location of damaged goods / vehicle:
Estimate of Loss:     $	Approximately

Once you have completed this form, please check to make sure you have answered all the questions and that details are recorded correctly. Then press the Submit button. We will contact you within 24 hours.