Plastic Insurance Quote

* denotes a required field

Please specify the type of business you operate? *

How many employees are in the business? *

What is the approximate annual turnover? *

The construction of the buildings walls are *

The construction of the buildings floor are *

The construction of the buildings roof are *

What is the age of the building? *

Do you have more than 1 business location? *

Please tick the types of Fire Prevention/Protection Equipment at your business location?

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? *

What is your yearly gross profit (turnover less cost of purchases)? * $

Please specify your indemnity period? *

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? *

Contact Details

First Name *

Last Name *

Contact Number *

Email Address *

Current Insurer/Broker *

Business Trading Name

Preferred time to call *

Insurance Renewal Date *

Day

Month

Year

Where did you find out about us

1300 133 577

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Plastic Insurance Quote

Contact Details