Property Damage Claim

Use this form if you need to submit a claim relating to property damage caused by Level Crossing Removal Project, Melbourne Airport Rail, Regional Rail Revival, or Big Build Rail works.

Contact details *This question is required.

First Name

Last Name

Phone / Mobile

Email Address

Property address

Preferred method of contact *This question is required.

Please enter an 'other' value for this selection.

Description of damage

Description of damage
Please describe the damage to your property (including which project you believe caused the damage, and how they were responsible) *This question is required.

Date damage occurred (if known) This question requires a valid date format of DD/MM/YYYY.

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Date damage noticed This question requires a valid date format of DD/MM/YYYY.

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Has a condition survey previously been carried out on the property for the purpose of the Level Crossing Removal Project, Melbourne Airport Rail, Regional Rail Revival, or Big Build Rail

Are you the owner of the property

Please upload images/supporting documents including a statutory declaration confirming the above. *This question is required.

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Do you have any additional comments?

Note

This form is for property damage claim investigation purposes and not for urgent repairs. If the property is currently unsafe please contact emergency services.

Disclaimer

Please note that Level Crossing Removal Project, Melbourne Airport Rail, Regional Rail Revival, or Big Build Rail and its contractors do not assume any responsibility or liability based on the submission of your claim, and submitting the form does not guarantee the outcome of your claim.

Privacy Statement

Level Crossing Removal Project, Melbourne Airport Rail, Regional Rail Revival, or Big Build Rail is committed to protecting your privacy by fully meeting its responsibilities under the Privacy and Data Protection Act. For further details please see our Privacy statement.

By submitting any information in this form, including sensitive information or health information, I consent to it being collected by Level Crossing Removal Project, Melbourne Airport Rail, Regional Rail Revival, or Big Build Rail, used within Level Crossing Removal Project, Melbourne Airport Rail, Regional Rail Revival, or Big Build Rail and disclosed to third parties. If the information relates to someone other than me, I am authorised to give this consent for that person.

*This question is required.