Student Safe request | Specsavers Easy Invoicing

Specsavers Studentsafe Inbound Pre-approval Request Form

* Please bring photo ID when attending Specsavers so that your identification can be verified

Policy Holder and Individual Pre Approval Request

Student ID

Course Type

Multi Year/Returning Student

12 Month

Part Year/Short Course

Policy Holder

Please enter full name as per passport

Address

Student Visa Expiry Date

Date Of Birth

Customer Email

Customer Phone

Studentsafe Inbound Policy

Education provider

Family / Couple Pre Approval Request

Name

Relationship

Date Of Birth

Phone

Nature of Claim

Claim Type

Lost or Stolen

Damage

Change of Vision

Please Provide A Small Description Of Nature Of Claim

If stolen include police report ID. If damaged bring the damaged product to Specsavers for assessment

Appointment Details

Product

Specsavers Store

For Studentsafe Optical Benefit and Privacy Notice information please refer to your policy.

Students are covered for eye exams, and prescription goods only if they are lost, stolen or their vision changes while studying in NZ.

Please contact the InsurancesafeNZ Team on 0800 486 004 (toll-free) or +64 9 488 1638 for support, or claimsadmin@allianzassistance.co.nz

Contact the Specsavers Insurance team