Tell us about your business – we’ll find you a professional indemnity insurance quote and explore any other insurance needs.
To receive a confirmed quote, please complete the form below. Depending on the details of your profession, we will endeavour to provide you with a confirmed quote on the same business day or the next business day if received after hours.
If you prefer to talk to a broker first, please call Liability Brokers between 8.15am and 5.15pm E.S.T. business days and receive an indicative quote over the phone.
No. of directors / partners | Number of directors | |
No. of qualified staff (other than directors) | No. of directors | |
Gross Fees last 12 months If Nil, put in "0" | No. of directors | |
Australia | ||
USA/Canada |
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Elsewhere |
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Estimated Fees next 12 months If Nil, put in "0" | ||
Australia |
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USA/Canada |
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Elsewhere |
If you conduct business in overseas countries, please provide details below: |
State the percentage of Your activities (based on income) applicable to each State |
ACT | NSW | NT | QLD | SA | TAS | VIC | WA | OS |
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If you are after Public Liability cover as well, we need this question to be answered, otherwise proceed to the next question. |
Does your business involve any of the following?
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If you answered Yes, what duties do they perform? |
Do you employ contractors or sub-contractors? Yes No |
If YES, do You require cover for sub-contractors? Yes No |
Do You insist they carry their own insurance? Yes No |
The term "You" means: principals, partners, directors or staff members, or any of the Intended Insured's predecessors, or any prior practice of any of its present or former partners, principals or directors |
Have "You" ever been subject to disciplinary proceedings or actions for
misconduct in a professional respect? Yes No
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Have "You" ever been subject to any claims for civil liability or breach
of professional duty in the last ten years? Yes No |
Have "You" notified any circumstances to insurers that may give rise to such a
claim? Yes No |
Are "You", aware of any other facts or circumstances which may give rise to a professional
indemnity insurance claim? Yes No |
CAPTCHA Code: Type the above number:
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By submitting this Declaration, I/we declare and agree that:
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Name of person making this declaration:
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Duty of Disclosure - What you must tell us Under the Insurance Contracts Act 1984 (the Act), you have a Duty of Disclosure. You are required before you enter into, renew, vary, extend or reinstate your Policy, to tell us everything you know and that a reasonable person in the circumstances could be expected to know, is a matter that is relevant to our decision whether to insure you, and anyone else to be insured under the Policy, and if so, on what terms.
Claims Made Policy The Professional Indemnity section of this Policy operates on a 'Claims made and notified' basis. This means that the Policy covers you for Claims made against you and notified to us during the Period of Insurance. This Policy does not provide cover in relation to:
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