Plumbers Public Liability and Tools Quote Request (F8)
Public Liability provides you with protection for property damage or personal injury to third parties such as the public where you are found negligent.
Insured name
*
E-mail:
*
Telephone Number:
Business Address
Pay Monthly/Annually
*
Please Select
Monthly
Annually
Liability Cover required
Please Select
5 Million
10 Million
20 Million
Tools & Other cover options if required
Please Select
None
Tools $5,000
Tools $10,000
Tools $15,000
Tools $20,000
Other - describe below
Victorian Plumbers Consumer Extension
Please Select
No
Yes
Type of Business
*
Plumbers License No
Example of type of work you do
What is the total number of Propietors/Partners and staff involved in the business.
Total involved
*
State Located
Please Select
NSW
VIC
ACT
SA
WA
QLD
NT
TAS
See Notes
Post code
*
Number of Locations
In the box below enter the estimated annual turnover. That is the total gross income/fees or commissions you hope to make. Or the total value of sales you hope to make. You can add notes to explain if you wish in the other notes section.
Estimated annual Turnover
*
If you answer yes to any questions below or there is any additional information you would like to tell us just type it in box below.
Has the insured had any liability claims within the last 5 years
*
Please Select
Yes
No
Anything that may lead to a claim
Please Select
Yes
No
Criminal Convictions last 10 years
Please Select
Yes
No
Do you import or export
Please Select
Yes
No
Do you require policy to cover contractors
Please Select
Yes
No
Use Hazardous goods
Please Select
Yes
No
Work at or sell to mine sites
Please Select
Yes
No
Above ground
Underground
Welding type work (don't include soldering)
Please Select
Yes
No
Welding away from my premises
Welding only at my premises
% of welding away from my premises
Please Select
0% welding away from my premises
5% welding away from my premises
5 to 10% welding away from my premises
10 to 20% welding away from my premises
Less than 50% away from my premisies
100% welding away from my premises all at work sites
Type of Welding
Please Select
I use Soldering only
Welding & Soldering
Welding
Other notes you would like to add type here or if you answered yes to any of above questions.
Expiry Date of current cover if any
-
Day
-
Month
Year
Date Picker Icon
Current Insurer if any
If there is any other cover you would like a quote on such as Tools/Contents/Sickness and Accident or Motor for example type here.
Do you require a Workers Compensation policy to cover your employees
Please Select
Yes
No
How did you find us
Google
Yahoo
Bing
Yellow pages
White pages
Local Directories
Submit
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