GCCRS registration Fill out this form to register with the Greater Christchurch Claims Resolution Service (GCCRS). Once you have submitted this form one of our team will be in touch with you within two business days to discuss the next steps. Information about you First name Last name Preferred phone number for GCCRS to call you on Alternate phone number Contact email address Address where you live Number and street Suburb City / town Postcode Your postal address (if different from above) Number and street Suburb City / town Postcode Information about the affected property Address of affected property Number and street Subrub City / town Postcode Was this property affected in the 2010-11 earthquake sequence? Yes No Don't know Did you own this property at the time of the event? Yes No Don't know Do you have the Deed of Assignment (DOA) for the insurance claim relating to this property? Yes No Don't know Do you own this property today? Yes No Select the option that best describes the affected property. A house or townhouse not joined to another house or townhouse A house, townhouse, unit or apartment joined to one or more other houses, townhouses, units or apartments Is this property subject to a body corporate agreement? Yes No Don't know Select the option that best describes this property's current situation. This property is unoccupied I live in (occupy) this property I rent this property out to at least one tenant Have there been any court filings relating to the property's insurance claim? Yes No Don't know Who was the insurer of the property at the time of the event? List all the EQC claim numbers that relate to this claim if known. List all the insurer claim numbers that relate to this claim if known. If you would like to, briefly describe your claim. How did you hear about the GCCRS? I confirm the information I have submitted is true and correct to the best of my knowledge.