"*" indicates required fields HiddenCountAbout The ItemClaim Number*(If you are rebooking, put /2 at the end of the claim to avoid getting an error. i.e P03123456/2) PRN* What Is The Item?*Please tell us what the item is. (i.e ‘iPhone 12’ rather than ‘phone’ If you are trying to pickup a battery on its own (e.g an ebike battery thats on its own, not in the bike), please livechat us first as there are some rules we need to follow around this.What Happen To It?*Please tell us what happen to the item, rather than ‘impact’ or ‘liquid’ Arranging The Pick UpHow did you want to arrange this?*CourierPost Pick upPostshop Drop offRefer to TwiceFor post shop drop offs, once you submit this referral, we will email the INS a ticket for them to print off and attach to their parcel. They can then drop it off at any postshop. All the info on this form still needs filling in, i.e name, address, date etc. (nzpost require it to create the ticket) Use ‘refer to twice’ for larger items that are too big for the courier to pickup. Once you submit this referral, We will review it within 24hrs and contact the INS to arrange collecting it. Otherwise if we are unable to do it, we will contact myclaim@. Refer To Twice – Any info you want to tell us?*Pickup Date*Couriers usually pickup Mon-Fri 8-6 (not weekends or public holidays) YYYY slash MM slash DD Pickup Time (24hr clock, i.e 5pm is 1700)*This is the time the item will be ready. The courier will collect within 24hrs from this time. Hours : Minutes Name of the person we are picking up from?* First Last What Is Their Phone Number*If you are looking to collect an item from the police, please try to ensure we are provided a DDI or mobile phone # (providing the non-emergency 105 # may cause delays in collection)Their Email Address?* Company Name*Picking up from work – put the company name. Picking up from their home, put “Residential”. HiddenStreet* Address Finder*Start typing and possible address matches will appear. (avoid cut & paste, as its prone to throwing errors) Rural test block I have clarified with the customer this is the correct collection address HiddenCity* HiddenPost Code* Message for the Courier Driver*Important, please make sure you chose the right message to give the driver.Parcels at the front doorParcels in the letterboxKnock on the doorUse the intercomParcels at receptionIn the courier pick up/drop off areaPurchase AuthorityWho is the supplier for the Purchase Authority you uploaded?*The SupplierAA InsuranceHarvey NormanJBHiFiNo Purchase Order RequiredNoel LeemingPBTechUpload Purchase Authority* Drop files here or Select files Max. file size: 100 MB. Check PA I have checked the PA uploaded has the supplier in the ‘to’ field and cc_claimcentre in the ‘cc’ field. HiddenStatus HiddenCommentsHiddenNAD MM slash DD slash YYYY