We all know that the claims process can be a harrowing experience especially for those who are trying to deal direct with an insurer. That is why Bay Insurance has a designated Claims Manager who can be contacted 24 hours a day 7 days a week for all your emergencies. In the event of an urgent claim or a major loss you can call us toll free on 0800 229 252 and we will be available to assist you.

It is important to remember that we are your representative, not the insurers. We shall therefore ensure that your claim is presented as best as possible to the insurance company and will act on your behalf to achieve the best settlement. As your broker we understand your policy and your true entitlement so you can rest assured you will receive the best claims outcome


Fill in the form below, or download a PDF claim form:

Download Claim Form


Policy Details

Vessel Details

Incident Details

Weather Conditions

Water Conditions


Wind Speed (knots)

Purpose For Which The Vessel Being Used

Helm Person (or Driver Towing The Vehicle) Had Consumed Any Intoxicating Liquor Or Taken Any Drug Within 12 Hours Of The Incident

Assessment Details

Estimate For Cost Of Repairs Obtained

Please contact your local repairer to provide an estimate.

Ownership Details

You Own All The Damaged/lost Property

You Have Any Other Insurance That Covers This Claim

Theft Details

If Burglary / Theft / Loss / Malicious Damage Occurred, The Police Have Been Notified

Other Parties

  • No liability should be admitted by you, or any offer made to compensate for damage
  • All communications recieved should be forwarded to us immediately

You Consider The Incident To Be The Fault Of Any Person Other Than Yourself

The Other Person Admitted Liability

Please give details of the owner of the other vessel or property


Names And Addresses Of All Witnesses (include All Passengers In Your Vehicle)

Name Address


I/we declare that to the best of my/our knowledge and belief these particulars are complete and accurate. I/we have not withheld any information or details of previous claims or any other material fact likely to affect acceptance of this claim.


  • a. Agree to give any further information required;
  • b. Understand you require this personal information, which will be retained by Bay Insurance / Vero NZ Limited before you can evaluate my/our claim;
  • c. Authorise the disclosure of this personal information regarding the claim to other parties;
  • d. Authorise the obtaining by Bay Insurance / Vero NZ Limited from any other party personal information about me/us that is in your view relevant to this claim;
  • e. Authorise the obtaining by Bay Insurance / Vero NZ Limited from any other party personal information about me/us that is in your view relevant to this claim;
  • f. Authorise Vero NZ Limited to place details of this claim on the database of "ICR Ltd, PO Box 474, Wellington", where it will be retained and available to other insurance companies to inspect;
  • g. Understand that I am/we are entitled to have certain rights of access to and correction of the personal information held by Vero and ICR Ltd.
Bay Insurance Marine

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