Office Insurance

Office Insurance Renewal Form...

Please fill out the following form. Once you have completed the form, click the Submit button to send your information. Your insurance renewal will be handled promptly.

NOTE: Make sure you put in your correct email address as a copy of this submission will be emailed to that address.

Client Code:

Insured Name:

Email Address:

No.of employees:

Occupation:

Occupation - Please give full details of your business operations:

Protecting your business property
This coverage pays for repair or replacement of your property if its
damaged by fire or other covered loss.

Please nominate a sum insured for:

The Buildings $

Office Contents $

The sum insured should represent the full replacement value.

Protecting of your business income
This cover reimburses your loss of income resulting from a covered loss to
your property.

Please nominate a sum insured for:

Annual Turnover

The sum insured should represent the total annual turnover of the business.

Protecting your business against liability claims
Liability insurance protects you and your business against the financial risk of
being found liable to a third party for death or injury, loss or damage of property
or economic loss resulting from your negligence

Please nominate a sum insured for:

Limit of Indemnity

Underwriting Questions

Does the business import or export goods? Yes No

Do you use sub-contractors or labour-hire? Yes No

Professional Indemnity
This insurance protects you from claims if your client holds you responsible for errors,
or the failure of your work to perform as promised.

Do you provide any advice, design or professional service
whether or not you charge for such advice, design or service? Yes No

Do you want us to send you a proposal form? Yes No

Extra comments section if required: