We Love Tradies Trade Proposal

  • 1. Your Details

  • Date of Birth*
     - -

  • 2. Business Details

  • Claims in the last 5 years?*

  • 3. Coverage Details

  • Do you require Public/Products Liability Insurance?*
  • Do you require Professional Indemnity Insurance?*
  • Please advise if a separate fee is charged for Advice Only?*
  • Do you require Tools of Trade Insurance?*
  • Claims in the last 3 years?*
  • Proposed Start Date
     - -

  • 4.00pm Local Standard Time at the Insured’s address

  • 4. Excess Level

  • 5. General Details

    Have You or any director or partner involved with the Business or any other business have in the past 5 years:
  • 1. Ever been declared bankrupt or insolvent.*
  • 2. Ever been convicted of or charged (but not yet tried) or been given an Official Police Caution in respect of any criminal offence other than a motoring offence.*
  • 3. Ever had any previous insurer decline a proposal, refuse to renew a policy or impose special terms or conditions.*
  • 4. Ever been convicted of any offence relating to the Health and Safety of your employees or members of the public in connection with your business*

  • 6. Claims History

    In connection with The Business or any other business in which You or any director or partner are, or have been involved, and in respect of the cover(s) now granted:
  • 1. There have been losses/claims made for the risks No proposed exceeding $1,000 in the last 5 years.*
  • 2. There have been losses/claims made for two losses of the same type or 2 losses of any type in the last 5 years whether insured or not.*

  • 7. Acknowledgements

  • Duty of Disclosure Notice

    Before you enter into an insurance contract, you have a duty to tell the insurer anything that you know, or could reasonably be expected to know, may affect their decision to insure you and on what terms.
     
    You have this duty until they agree to insure you.
     
    You have the same duty before you renew, extend, vary or reinstate an insurance contract.
     
    You do not need to tell the insurer anything that:
       - reduces the risk they insure you for; or
       - is common knowledge; or
       - they know or should know as an insurer; or
       - they waive your duty to tell them about.
     
    If you do not tell the insurer something
    If you do not tell the insurer something you are required to, they may cancel your contract or reduce the amount they will pay you if you make a claim, or both.
     
    If your failure to tell them is fraudulent, they may refuse to pay a claim and treat the contract as if it never existed.

  • I have read, understand and agree to the above Duty of Disclosure notice

  • I have read, understand and agree to the Financial Services Guide*
    A copy of this can be found at http://www.amsinsurance.com.au/downloads/AMS_FSG.pdf

  • I have read, understand and agree to the Privacy Policy. A copy of this can be found at http://www.pscconnect.com.au/privacy/

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