ACC SENSITIVE CLAIMS

IMPORTANT

 

This form needs to be filled in by an ACC Sensitive Claims Service (SCS) Lead Provider.

If you are an individual wanting to refer yourself or a friend/family member, do not fill this form in. Please send the information to your Lead Provider (see our ACC Sensitive Claims Service programmes for an overview of our programmes) and ask them to refer you.

If you have any questions or issues, please let us know (office@adventurespecialties.co.nz att: Anneke)

IMPORTANT

 

This online form takes roughly 30-40 minutes to fill in.

If you can’t complete the form in one sitting: The form *should* retain your answers (if you continue to use the same device and browser). But we all know how dependable technology is, so it might be a good idea to keep a copy of your answer in a Word doc as you go. 

If there are any issues with this form, please let our website person know so it can be fixed (office@adventurespecialties.co.nz att: Bex).

 

If there are any issues with this form, please contact our website person (office@adventurespecialties.co.nz attention: Bex)