Ownership Verification If your bicycle/s is older than 30 days, please have this form completed by your local bicycle store. Your bicycle/s must be present at the time, to be sighted for verification purposes. YOUR DETAILSFirst Name: Last Name: Policy Number: YOUR BICYCLE DETAILSBICYCLE 1: Make: Model: Serial Number: Value: BICYCLE 2: Make: MODEL: Serial Number: Value: BICYCLE 3: Make: Model: Serial Number: Value: BICYCLE 4: Make: Model: Serial Number: Value: YOUR BICYCLE STOREStore Name: Phone: Submitted By: PRIVACYAon is committed to protecting your personal information in accordance with the Australian Privacy Principles under the Privacy Act 1988 (Cth). We collect, use and disclose personal information to offer, promote, provide, manage and administer the many financial services and products we and our group of companies are involved in as set out in the Aon Privacy Notice.If you are disclosing personal or sensitive information about any other person to Aon, you confirm that you have obtained the consent of that person to disclose to Aon their personal or sensitive information and you have made them aware that Aon will or may disclose their information to third parties that are reasonably necessary to assist in the provision of the relevant services or products. If you have not obtained consent from this other person to disclose their personal or sensitive information to Aon, you will inform us before providing the relevant information to us.By submitting this form, you acknowledge that you have read the Aon Privacy Notice and agree that we can handle any personal information you have provided to us in the manner set out above.: : I agree that Aon or any of its group of companies may be in touch by any means (including SMS or email) to let me know about their goods, services or promotions, that may be of interest to you.