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Claim Form
This form must be submmited in 60 minutes
Form submission successful
Thank you for submitting your claim information.
An email confirming receipt of your claim will be sent to your nominated email address.
To prevent delays in assessing your claim, you can upload a monthly statement showing the purchase you are claiming for.
Details on how to do this are provided in the confirmation email we will send you after you submit this claim.
Providing a statement may save us needing to ask Latitude to confirm that the purchase was made on your account.