Customer Details

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
Please enter full name as per passport
Family / Couple Pre Approval Request
Only complete this section if you have paid for family cover and your spouse or child listed on the policy require the optical benefit
Please enter full name as per passport
Appointment Details
Nature of Claim
If stolen include police report ID. If damaged bring the damaged product to Specsavers for assessment

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

Please contact the InsurancesafeNZ Team on 0800 486 004 (toll-free) or +64 9 488 1638 for support, or