BOOKING REQUEST

If you are submitting a request between 4pm - 7pm (SA time), and require check in tonight, or before our next business day an after hours fee will occur.

The after hours service is available until 7pm (SA time). If a request is submitted after 7pm, for check in before our next business day, request will not be actioned until the next day.

Please fill out the below details

CONTACT DETAILS (Person responsible for this stay)

First Name *

Last Name *

Company name *

Email *

Phone *

NOTE: YOU MUST BE CONTACTABLE AFTERHOURS IF YOU HAVE SUBMITTED A JOB - If we cannot contact you the job will not be worked on or completed.

Please ensure your contact details are correct & you will be available by phone or email to approve quotes.

ICR must receive approval before finalising & booking accommodation (If you are submitting this job after hours, please provide your direct contact number).

INSURER DETAILS

INSURER *

CLAIM# *

Billing Address *

ABN *

OCCUPANT DETAILS

Occupant first name *

Occupant last name *

Occupant phone number *

Occupant Email *

Occupant Address *

PROPERTY REQUIREMENTS

Current Property *

House ApartmentUnit

Home Suburb *

State *

Radius *

Adults *

Children Ages 2-12 *

Infants Under 2 *

Pets (Dog, Cat) **Please specify what breed and size of each pet

Bedrooms *

Bathrooms

Carparks *

Furniture **Not applicable for short term stays

Work/Preferred Suburb

Is Emergency Accommodation Required? *

YesNoN/A

*Emergency requests only - you have contacted the Insured & confirm they have nowhere to stay before the next business day.

Total Approx. Budget *This will help in finding the right property for you

Pet Policy

Check in Date *

Check out Date *

NOTES

End of form

Reminder: If you are submitting a request between 4pm - 7pm (SA time), and require check in tonight, or before our next business day an after hours fee will occur.

The after hours service is available until 7pm (SA time). If a request is submitted after 7pm, for check in before our next business day, request will not be actioned until the next day.