Public Liability Insurance

Step 2

Please provide some more specific information relating to your public liability insurance needs.

Note: Please provide answers to all questions.

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In which State or Territory is your business based?
What is the occupation of the business to be insured?
Business Activities (please provide full description of the nature of the business)
Company/Business name
Location/Address of Business premises
Postcode where the business is situated
How many years experience do you have in this occupation?
If less than 5 years advise details of previous work
What is the name of your current or most recent Insurer (type n/a if not presently insured)?
What is the Due Date (expiry date) of your existing policy (if applicable)?
What is the approximate annual turnover of the business?	$ (numbers only please - estimate if unknown)
How many employees are engaged in the business?
What are the approximate annual wages paid?
What type of equipment is used in the course of the business?
Please provide details of any public liability claims made in last 5 years:
Do you require the policy to extend to include Goods in Care? (include amount of cover or type no if not required)	$
What is the sum insured (amount of cover) that you require?

How would you prefer to receive your quotation?

Email Post Telephone Fax

To enable us to provide you with your personalised quotation, please advise . . .

Your First Name	(required)
Your Surname	(required)
Email Address	(required)
Postal Address
Daytime Telephone No.	(required)
Facsimile No.

Now that you have completed the information on this form, simply click on the "Continue" button below, and we will arrange your quote for you.

Important: Please do NOT proceed to the next page if your enquiry is not genuine. This is a free service ONLY for members of the Australian public making genuine enquiries for insurance. By proceeding to the next page you are confirming that the information that you have provided above is complete and accurate and that you wish to receive free comparative quotes and options sourced from a big selection of Australia's leading and best rated insurance specialists.

Please Note: Deliberately providing false information in order to obtain a financial service is fraud.