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Claim Farming
Claim Farming Scam Report Form
Claim Farming Scam Report Form
The CTP Scheme
The CTP Regulator
Fraud
Claim Farming
Contact us
Required fields are marked with an asterisk (
*
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Contact Details
First Name
*
Last Name
*
Address
State
SA
VIC
NSW
QLD
WA
TAS
ACT
NT
Postcode
Phone
Email
*
Message
Did the scam caller refer you to a law firm?
*
Yes
No
If so, which law firm did they refer you to?
Were vehicles towed from the accident?
*
Yes
No
Who is your vehicle property damage insurer?
Was the accident reported to South Australia Police online or at a police station?
*
Online
Police station
Not reported to police
Did the police attend the accident scene?
*
Yes
No
Did SA Ambulance attend the scene?
*
Yes
No
Do you wish to lodge a CTP claim?
*
Yes
No
Already lodged a CTP claim
If you have already lodged a CTP claim, which CTP Insurer is it with?
AAMI
Allianz
SGIC
QBE
Do you consent to the CTP Regulator contacting you about this submission?
*
Yes
No
Your Enquiry
*
Please provide any other relevant information.