Autosure - NZ Add-on Insurance

Autosure Add-on Insurance - Class Action Investigation

Registration Form
Echo Law is investigating claims against Autosure on behalf of consumers who were sold low value insurance policies such as Mechanical Breakdown or Car Loan Related Insurance (such as Loan Protection, Payment Protection or GAP insurance).

Complete this form if you were sold Autosure Add-on Insurance and would like to receive updates about Echo Law's investigation.

It does not cost any money to register and you will never be 'out of pocket' as a result of participating in this investigation.

If you have any questions, please contact us by email at enquiries@echolaw.com.au.
Please provide your contact details below*

First NameLast Name
Email*

Confirmation EmailPlease confirm email by re-entering in second box
Contact Number*
Address*

Street Address

Street Address Line 2

CityState

Post CodeCountry
Please confirm whether you agree to Echo Law's Privacy Policy*

I agree to Echo Law's Privacy Policy
Our Privacy Policy is available here.
Please verify that you are human*

Car Details

Note: If you are unsure of any particular details, please provide the best information you can. This information can be revised at a later date.
Where did you purchase the vehicle? (i.e. name of dealership)
What year did you purchase the vehicle?
Did you obtain finance for the vehicle?

YesNo
Who did you obtain finance through? (e.g. Motor Trade Finance (MTF), Toyota Finance, Geneva)

Autosure Insurance Details

Note: If you are unsure of any particular details, please provide the best information you can. This information can be revised at a later date.
Which of the below Autosure policies were you sold? (select all that apply)

Guaranteed Asset Protection (GAP) InsuranceExtended Warranty / Mechanical Breakdown InsuranceLoan Insurance / Payment Protection InsuranceOther
Have you ever claimed on your Autosure insurance policy?

YesNo
Tell us about claiming on your policy (if applicable)

Autosure Insurance Details

Note: If you are unsure of any particular details, please provide the best information you can. This information can be revised at a later date.
Tell us about the sale of your Autosure insurance policy
Upload car loan and insurance documents:

Cancelof
Please provide copies of any documents evidencing your car loan(s) and Autosure insurance policies. Evidence of your insurance will typically be listed on your car loan contract or the policy schedule.

If you don't have these documents readily available, you can provide these to us later.
Should be Empty:

Autosure Add-on Insurance - Class Action Investigation