For insurance policyholders

If you are looking for Financial support as a result of COVID-19 more information is available on the COVID-19 page.

Who can apply?

This form is intended to be completed by RAC Insurance policy holders, for current matters particularly relating to Insurance Claims. This form should be filled out if you are unable to meet your obligations or require a payment plan to do so.

Further help

If you have any questions about the process, or if you require assistance to complete this application, please contact us on 13 17 03 and follow the prompts to be connected to Claims (Office hours Monday to Friday, 7:30am to 5pm except public holidays).

If you wish to discuss paying your Insurance premiums, please call 13 17 03 and connect to Sales & Member Service

The National Debt Helpline can also be contacted on 1800 007007.

What types of assistance can be sought from RAC Insurance

  • Extension of due date for payment. If so, when will you be able to make payment?
  • Paying in instalments. What can you afford, how often and over which period?
  • Paying a reduced lump sum. What can you afford?
  • Postponing one or more instalments. When will you be able to start/re-start making payment?
  • Unable to pay a bill

Application form

Reference

Applicant 1

Applicant 2

Contact Details

Financial hardship details

What assistance would you like RAC Insurance to consider?