Arrange BAS Agent / Bookkeepers Cover Today

Simply complete the details below and click Submit. It's that simple! Please complete all fields to ensure we have adequate information to arrange your cover.

Insured Entity  
Trading as  
Contact Name  
Business Address  
Suburb  
State   Post Code
Phone Number  
Email Address  
 
Have you had any previous claims or notifications?  
     
Is this Proposer aware, after enquiry of any Circumstance(s) or incident(s), which may give rise to a Claim?. If YES, please provide further details  



     
Professional Indemnity Cover Required  
     
Is Public Liability Insurance required?  
     
Cover Required From   Cover cannot be accepted if date is before today
     
Estimated Turnover 2012/2013  
   
    Please enter security code below and click submit.
   

 


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