RACQ cyclone mitigation form

Find out if you are eligible for a cyclone mitigation discount Please fill out your details below and we will be in touch within 2 business days. Mandatory fields are marked with * Text Elements First Name * First Name is required. Last Name * Last Name is required. Email * Please enter a valid email. Confirm Email * Email confirmation must match. Text Elements Phone Number * Which of the following applies? * Please Select Existing Home/Contents Policy Holder New Customer Policy number (if applicable): Address * Suburb * Postcode * Have you recently installed opening protection? required. Have you recently installed roof strapping? required. Have you recently installed a roof over-batten system? required. Have you recently completed a roof replacement? required. I agree to the terms and conditions Agree to terms and conditions is required. * Fields must be filled in. Enter Now