Incolink Claim Forms

Incolink members may be eligible to receive a number of Incolink insurance benefits.  If you believe you may have suffered an injury or illness that may result in a claim, please follow the steps below.

STEP 1. DOWNLOAD A CLAIM FORM & Tax File Number (TFN) Declaration 

Personal Accident Leisure Time Insurance

• Personal Accident Claim Form  (including broken bones)      TFN Declaration

Discretionary Cover
Funeral claims are managed by Incolink – please contact Incolink directly.
TFN Declaration not required.

• Emergency Transport Claim Form
• Dental Claim Form (accidental only)

Leisure Time Illness/WorkCover Top-Up/TAC Top-Up & Workplace Capital Benefits

• Illness Claim Form  TFN Declaration
• TAC Top-Up Claim Form       TFN Declaration
• WorkCover Top-Up Claim Form       TFN Declaration
• Workplace Capital Benefits Claim Form       TFN Declaration not required

Portable Sick Leave Insurance

• Portable Sick Leave Claim Form (PSLi)     TFN Declaration

Terms and Conditions apply.  Download a copy of Incolink’s Accident & Illness Benefits Program brochure for full details.

PLEASE NOTE

Cover is only available when contributions by your employer are current at the time of the event. Gaps in payments will mean no cover. Where back payments have been made and a claim is submitted, the claim will not be considered.

STEP 2. COMPLETE THE CLAIM FORM

All sections of the claim form must be completed in FULL.  Incomplete claim forms will delay the assessment of your claim.

Please include copies of any medical reports, discharge summary, patient notes, radiologist’s reports and any other relevant information that will assist with the assessment of your claim.

If you require assistance completing your claim form, please call Total Claims Solutions on (03) 9320 8588.

STEP 3.  LODGE YOUR CLAIM

Once completed and you have all your documentation, including your TFN Declaration (if applicable), please send the claim form to:

Total Claims Solutions

Level 1, 151 Rathdowne Street

CARLTON  VIC  3053

STEP 4. CLAIM RECEIVED

Your claim will be assigned to a dedicated case manager who will contact you to discuss your claim.