Important Forms

When filling in the form, please remember to include the following details so we can process your inquiry:

Brokerage: Shockwave Insurance Brokers
Broker Email: [email protected]

Personal information provided through these forms will be handled in accordance with the repX Privacy Policy.

Letter of Appointment

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Authority to Quote

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Policy Cancellation Request

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General Claim Form

Make a claim

Liability Claim Form

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Motor Claim Form

Make a claim

Property Claim Form

Make a claim

Actual Wages Declaration Form

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Estimated Wages Declaration Form

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