Liability & Business Insurance Quote

Contact Name
Postcode
Email Address
Phone Number
Occupation
Preferred Method Of Contact—Please choose an option—EmailPhone
Do You Hold A Current Public or Product Liability Insurance PolicyYesNo
Date Of Incident
Description Of Business Products or Activities
Your Estimated Annual Turnover—Please choose an option—$0-$50,000$50,001-$100,000$100,001-$200,000$200,001-$350,000$350,001-$500,000$500,001-$1,000,000$1,000,000+
Estimated Wages Payable Over 12 Months—Please choose an option—$0-$10,000$10,001-$30,000$30,001-$60,000$60,001-$90,000$90,001-$120,000$120,001-$150,000$150,001-$250,000$250,000+
Do you have contractors or sub-contractors?YesNo
Limit of Indemnity Do You Need—Please choose an option—$5 Million$10 Million$20 Million$50 MillionUnknown
Have any claims been made against you or have you recalled any products during the last 5 years?YesNo
Have you had any incident or accident occur which would have been covered by the proposed insurance policy?YesNo
Have you had any insurance declined or cancelled, proposal rejected, renewal refused, claim rejected, special conditions or special excess imposed by an insurer?YesNo
Would you also like a quote for?Income Protection InsuranceLife InsuranceManagement Liability InsuranceWorkers Compensation InsuranceBusiness Interruption InsuranceBusiness Package InsuranceProfessional Indemnity InsuranceEmployee Journey InsuranceMotor InsurancePlant and Equipment InsuranceMachinery Breakdown InsuranceCyber Liability InsuranceTransit InsuranceTravel InsuranceHome Building, Contents & or Landlords InsuranceNone of these extras, just liability insurance
Insurance Cover RequiredBusiness InsuranceLife InsuranceMotor TradesManagement LiabilityBroadform LiabilityConstruction & BuildersTransport InsurancePersonal InsuranceTrades PackageCorporate TravelWorkers CompensationProfessional Indemnity Commercial MotorMobile PlantOther
Any additional information you would like us to know about this policy?

I confirm the above information is true and correct