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Insured Name
*
ABN/ACN
Business Address
*
Your Occupation
*
Total Number of Employees (inc. full-time, part-time, and casual)
*
How long has this business been operating?
*
Turnover - Current Financial Year
Estimated Annual Fees Charged/Gross Fees/Income
Do you pay contractors?
*
Yes
No
N/A
If you selected yes, please provide estimated total in payments to contractors
List your business activities and the approximate income percentage for each. This helps us tailor your insurance coverage.
*
Limit of Professional Indemnity Required
*
$500,000 (Not available with every insurer)
$1 Million
$2 Million
$5 Million
$10 Million
Greater than $10 Million
What amount of Public Liability protection do you need?
*
$5 million
$10 million
$20 million (most common)
$30 million
$50 million
Do you have already insurance? Please upload your policies and certificates
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Professional Indemnity Insurance
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