Tradesmen Machinery and Plant Insurance Quote Form

Please provide as many details as possible to speed up the processing of your request. You should receive your quotation within two business working days!! For faxing, posting or scanning and emailing your quote request, download the PDF version of the Form.

Alternatively, you can submit your quote request online. See below.

Fields marked in bold are mandatory.

Tradesmen Details

Title :

First Name :

Last Name :

Phone* (day) :

Phone* (home):

Fax* :

Mobile :

Email :

*Please include country and area code. Example: 610283030572

Postal Address

Street Address :

Suburb :

State :

Postcode :

Site Address (Same as Postal Address )

Street Address :

Suburb :

State :

Postcode :

Business & Insurance Details

Period of Insurance : From: / /
To: / /

Turnover ( $) :

Excavation Depth (m) :

Are Dry Hire out machines used :

Yes No

Hire fees ($) :

Sub Contractors used :

Yes No

Nature of work :

Percentage of work (%):

Legal liability required :

5 million 10 million 20 million

Description of work and activities you undertake:

Full description of activities machine is used for:

Details of ALL claims in last 4 years:

Details any operators of Machinery or vehicle convicted of a criminal offence:

Details of vehicles, if any:

Add Vehicle details
Add Another Vehicle details

Prior to entering into a contract of general insurance you have a duty to disclose certain information. You have the same duty to disclose prior to renewing, extending or varying a general insurance contract. When answering the questions you must be honest and you have a duty under law to tell us anything known to you. You, and of which a reasonable person in the known circumstances would include in answer to the questions. We use the answers in deciding whether to insure you and on what terms. If you do not answer the questions in this way, we may reduce or refuse to pay a claim, or cancel the policy. If you answer questions fraudulently, we may refuse to pay a claim and treat the policy as never have been valid.

I / We confirm we have read the Duty of Disclosure included in this application form and confirm the answers are true correct and that no information has been withheld which may affect the decision to accept this application or the terms and conditions.

Help us help you by answering this question:

Are you interested in receiving information on our new ‘self-venting’ roofing products?

Also email me a copy of this request. (Requires a valid email.)

To enable us to introduce you to a Service Provider in sending this enquiry, you consent to the disclosure of this personal information to third parties and between related business entities for the purpose for which this information was received and collected, or for related purposes, to provide you with a service that you requested.

After you submit your Quote Request, you will be contacted by one of our Customer Service Officers who will provide you with a quote and assist you with your case.

If you have any urgent questions please don't hesitate to call us on 1300 884 876 or +61 2 8303 0545 Monday to Friday 9am to 5pm (AEST).

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