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Motor Vehicle Insurance

Motor Vehicle Insurance

Motor vehicle insurance is managed by our domestic team with quotes, new business and claims handled by the same person all the way through. Once we assign you an Account Manager they will make sure that any queries or claims that occurs during your time with us will be answered for you with the human elemant in mind. Please complete the following information for your free, no obligation quote today.

Motor Vehicle Insurance Quote Request

* Denotes Required fields
1. Vehicle Details
1a. Make*
1b. Model / Type / Series:*
(e.g. Commodore Executive VT)
1c. Year*
1d. Body type*
1e. Engine capacity in litres
1f. Transmission
1g. Metallic Paint
1h. Accessories / modifications
(please give details and value)
1i Estimated value of vehicle $
1j. Suburb in which the vehicle will be parked at night*
1k. How will it be parked
1l. Suburb in which the vehicle will be parked during the day
1m. How often is the car used
1n. Approximate distance traveled
per year (km)
1o. What purposes is the vehicle mainly used for
1p. What is the ownership status of the vehicle
1q. Do you have any car club memberships? (give details)
 2. Security information
2a. Does the vehicle have any
anti-theft equipment?
2b. If yes, please specify: Hold Ctrl to select multiple
2c. Other
3. Driver information
3a. Age of regular driver:*
3b.
3c. Percentage of use:
%
3d. How long has this driver held a drivers license?
year/s
3e. Details of any traffic offenses, accidents, vehicles stolen, any other vehicle loss/damage and license suspension or cancellation for the last 5 years:
3f. Are you entitled to a
No Claim Bonus?
3g. If yes, please specify what rating:
3h. If you hold Rating 1, how many years has it been since your last claim? (enter 99 if you have never claimed)
3i. Age of other driver:
3j.
3k. Percentage of use:
%
3l. Age of other driver:
3m.
3n. Percentage of use:
%
4. Insurance history of the vehicle
4a. Previous insurer:
4b. Due date of policy: dd/mm/yyyy 4c. Amount paid $
4d. Any other notes you wish to include:
5. Contact Details
Please enter your contact details below so we can contact you regarding your quotation.
5a. Your Name*
5b. Daytime Phone Number*
5c. Your Email Address
5d. Your Fax Number
5e. Your Postal Address
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