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Contact Us
1300 133 577
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Plastics Insurance Quote
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Please specify the type of business you operate?
*
How many employees are in the business?
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- Select -
1-5
6-20
21-50
51-99
More than 100
What is the approximate annual turnover?
*
- Select -
$0 - $250,000
$250,000 - $500,000
$1 Million
$1 Million - $3 Million
$3 Million - $5 Million
$5 Million - $10 Million
More than $10 Million
The construction of the buildings walls are
*
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Brick and/or Concrete
Mixed (Brick/Concrete & Metal)
Other
The construction of the buildings floor are
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Concrete
Mixed (Concrete & Timber)
Timber
Other
The construction of the buildings roof are
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Concrete
Metal or Tile
Asbestos
Other
What is the age of the building?
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More than 50 years old
Less than 50 years old
Do you have more than 1 business location?
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- Select -
No
Yes
Please tick the types of Fire Prevention/Protection Equipment at your business location?
Fire Hoses
Fire Extinguishers
Fire Sprinklers
Smoke Detectors
Heat Detectors
Please tick the types of Security at your business location?
No Security
Deadlocks/Security locks
Perimeter security fence with locked gates
After Hours Security Lighting
After Hours Security Company Patrols
Closed Circuit TV
Alarm - Local/Monitored
If you require building insurance, what is the replacement cost of the building?
*
If you require stock insurance, what is the replacement cost of your stock?
*
If you require contents insurance, what is the replacement cost of your contents?
*
If you wish to increase your burglary cover above $10,000 please specify
*
If you wish to increase your money cover above $10,000 please specify
*
Do you wish to increase your public liability cover above $10,000,000?
*
- Select -
No
Yes - $20,000,000
What is your yearly gross profit (turnover less cost of purchases)?
*
Please specify your indemnity period?
*
- Select -
Standard - 12 months
Optional - 18 months
Maximum - 24 months
If required, please specify an amount for “ additional increase cost of working ” cover?
*
If required, please specify an amount for “ claims preparation ” cover?
*
Do you require cover for machinery breakdown?
*
Yes
No
Have you had any claims in the last 5 years?
*
- Select -
No
Yes - 1 Claim
Yes - 2 Claims
Yes - 3 Claims
Yes - 4 or more Claims
Claim 1: Year
Type
Amount
Claim 2: Year
Type
Amount
Claim 3: Year
Type
Amount
Contact Details
First Name
*
Last Name
*
Contact Number
*
Email Address
*
Current Insurer/Broker
*
Business Trading Name
Business Address
*
Suburb
*
State/Territory
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Victoria
New South Wales
Queensland
South Australia
Western Australia
Tasmania
Northern Territory
Post Code
*
Preferred time to call
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Mon-Fri between 9am & 11am
Mon-Fri between 11am & 1pm
Mon-Fri between 1pm & 3pm
Mon-Fri between 3pm & 5pm
Insurance Renewal Date
*
Where did you find out about us
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