top of page
Tailored
INSURANCE
Home
Products
Claims
About Us
Contact Us
More
Use tab to navigate through the menu items.
Liability Proposal Form
From
*
To
*
First name
*
Last name
*
Company name
ABN
Email
*
Phone Number
*
Address
*
Occupation
*
Occupation Information
Liability Limit:
*
$10,000,000
$20,000,000
Turnover
*
Number of Employees
*
Do you employ subcontractors or labour hire
*
Are you involved in importing or exporting manufactured goods
*
Do you earn any income from outside of Australia
*
For the purpose of calculating Stamp Duty, confirm the % of revenue earned in each state
*
Are there Interested Parties to be noted on this policy
*
In the last 10yrs, has your business had any claims, suffered loss, had insurance cancelled, been convicted of criminal offences or been declared bankrupt
*
Apply Now
TAILORED INSURANCE | Corporate Authorised Representative (No. 1237729) of Insurance Advisernet Australia Pty Ltd, AFSL No. 240549
bottom of page
_edited.png)