Westpac CCI Registration

Personal Information

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Date of Birth*

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About your CCI policy

Please select the CCI policies you were sold

Westpac Credit Card Repayment Cover Westpac Flexi Loan Repayment Cover Westpac Personal Loan Protection Not sure

Note: CCI refers to "consumer credit insurance". This information is stated in the notice you may have recently received.

What is the date your first Westpac Credit Card Repayment Cover CCI policy was purchased?

Note: To be eligible, policies must have been purchased between 1 January 2010 and 30 June 2019. This information is on the Notice you received from Westpac

What is the date your first Westpac Flexi Loan Repayment Cover CCI policy was purchased?

Note: To be eligible, policies must have been purchased between 1 January 2010 and 30 June 2019. This information is on the Notice you received from Westpac

What is the date your first Westpac Personal Loan Protection CCI policy was purchased?

Note: To be eligible, policies must have been purchased between 1 January 2010 and 30 June 2019. This information is on the Notice you received from Westpac

Please select which (if any) CCI policy you were sold has been cancelled?

Westpac Credit Card Repayment Cover Westpac Flexi Loan Repayment Cover Westpac Personal Loan Protection

Note: This information is stated in the notice you may have recently received.

Do you recall how you were sold a CCI policy?

Yes No

Please provide us with a description of what you remember about being sold a CCI policy?

Note: If you held several CCI policies and there were different circumstances relating to your eligibility at the time of being issued those policies, please elaborate here.

Do you recall how you were sold a CCI policy? (Tick all options that apply if you were sold more than one type of CCI policy)

In a Westpac branch Over the telephone Online Do not recall

You have indicated that you do not recall being sold a CCI policy. Please describe how you become aware that you had in fact purchased the CCI policy?

Note: If you held several CCI policies and there were different circumstances relating to your eligibility at the time of being issued those policies, please elaborate here.

At the time you were sold a CCI policy, did any of the following describe your circumstances? (Tick all that applied. If none applied, do not check any boxes)

I was unemployed I was employed part time (20 hours or less per week) I was a seasonal worker I was a contractor I was self employed/employed in a business partnership I was 17 years old or younger I was 66 years old or older I had recently been sick and unable to carry out my usual job Not sure

Please provide a bit more personal detail about the circumstances that applied to you (eg what your seasonal work was, why you were unemployed, what your sickness was):

Note: If you held several CCI policies and there were different circumstances relating to your eligibility at the time of being issued those policies, please elaborate here.

During the period you had a CCI policy did you experience financial hardship, such as reduced work hours or marital breakdown?

Yes No

Did you receive financial hardship support from Westpac at that time?

Yes No

Have you ever tried to make a claim on a CCI policy?

Yes No

Please provide us with more information, such as why you made a claim, and what happened after you made the claim.

Note: If you held several CCI policies and there were different circumstances relating to your eligibility at the time of being issued those policies, please elaborate here.

Tell us your story (optional)

Note: Please tell us anything else about you and your experience with being sold a CCI policy or making a claim on that insurance. If you held several CCI policies and there were different circumstances relating to your eligibility at the time of being issued those policies, please elaborate here.

Do you have life insurance, income protection insurance, or TPD insurance? (Please tick all that apply. If none apply, do not check any boxes)

Yes, life insurance Yes, income protection insurance Yes, TPD insurance Not sure

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