I declare that the information above is true and correct. I agree to allow the Insurance Company and/or their Agents, to discuss details of this claim with the Police, any Insurance and/or Finance Company (and/or their Agents), and if necessary permit the Insurance Company and/or their Agents to utilise this claim form for the purpose of making a Dual Insurance claim against any Insurance Policy that may also cover the lost or damaged device. Where necessary, I also agree to allow the disclosure of any finance Payout & Purchase Figure of the item/s described and the Payment History of any finance contract to be disclosed to the Insurance Company and/or their Agents. Where the user of the device is under 18 years of age, this form has been completed by a parent or guardian in full consultation with the user.