Register with the GCCRS 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 Are there any cultural needs you would like us to be aware of? Yes No We will follow up Someone from the GCCRS will ask you about these cultural needs, either by calling you, or talking to you about them when you come into the GCCRS office. 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 Suburb 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 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. Please briefly describe your claim. How did you hear about the GCCRS? You must enable JavaScript to submit this form I confirm the information I have submitted is true and correct to the best of my knowledge.
