Online Insurance quote

INSUREGROUP Operators Package

Please select from the covers below, you can select one or more covers as required, if your requirement is not shown simply click 'other'*

Comprehensive Machinery or Vehicle Insurance - cover for one or more machines or vehicles.
Carriers Transit / HOOK Insurance (tow trucks) - cover for third party items carried on the back of a truck or trailer.
General Liability Insurance - third party injury or property damage arising out of your business activities, excluding whilst driving.
OTHER

Please describe the other insurance products you require:*

Personal details and history questions:

Name*

First Last

Business name:*

ABN

Address*

Street Address Suburb Postcode

Email*

Phone*

Please select the closest occupation to your business*

What do you transport?*

Do you perform any unrelated activites to the above occupation?*

You have selected 'none of the above' please describe your business:*

Please thoroughly describe your business*

Have you or any of your operators/drivers or subcontractors had any criminal convictions which are less than 10 years old(adult), 5 years old (juvenile) or if outside of these years any convictions that have had a prison sentence greater than 30 months?*

Please provide details:*

Have you or any partners or directors ever been declared bankrupt in the last 10 years?*

Please provide details:*

Have you or any partners/directors had any policies cancelled/declined or special terms imposed?*

Please provide details:*

How many employees in your business? Including working directors*

When did this business commence trading or when will it in the future? (approximate)*

DD

MM

YYYY

Comprehensive machinery or vehicle insurance Q's

How many years have you had continuous heavy motor/machinery insurance?*

Who is your current insurer?*

How many items would you like to quote?*

It appears you have a lot of items to quote and we would like to help gather the item information. Please complete the form and someone from our friendly team will be in touch

Item 1

Please select the item category:*

Registration number? We can look all the vehicles details up using this.*

Please describe the truck:*

Year	Make	Model	Registration

Please describe the trailer:*

Year	Make	Model	Registration

What type of truck is it?*

What is the carrying capacity?*

The carrying capacity is the difference between the Gross Vehicle Mass and Tare Weight.

What type of trailer is it?*

Please select trailer type:*

Please select trailer type*

What is the operating radius of this item from home depot?*

Lower radius attract lower premiums

Does this truck have a Crane attached?*

Please describe the machine*

Year	Make/Model	Type

Will this item be road registered?*

What is the current market value of this item including all attachments?*

Item 2

Please select the item category:*

Registration number? We can look all the vehicles details up using this.*

Please describe the truck:*

Year	Make	Model	Registration

Please describe the trailer:*

Year	Make	Model	Registration

What type of truck is it?*

What is the carrying capacity?*

The carrying capacity is the difference between the Gross Vehicle Mass and Tare Weight.

What type of trailer is it?*

Please select trailer type:*

Please select trailer type*

What is the operating radius of this item from home depot*

Lower radius attract lower premiums

Does this truck have a crane attached?*

Please describe the machine*

Year	Make/Model	Type

Will this item be road registered?*

What is the current market value of this item including all attachments?*

Item 3

Please select the item category:*

Registration number? We can look all the vehicles details up using this.*

Please describe the truck:*

Year	Make	Model	Registration

Please describe the trailer:*

Year	Make	Model	Registration

What type of truck is it?*

What is the carrying capacity?*

The carrying capacity is the difference between the Gross Vehicle Mass and Tare Weight.

What type of trailer is it?*

Please select trailer type:*

Please select trailer type*

What is the operating radius of this item from home depot?*

Lower radius attract lower premiums

Does this truck have a crane attached?*

Please describe the machine*

Year	Make/Model	Type

Will this item be road registered?*

What is the current market value of this item including all attachments?*

Item 4

Please select the item category:*

Registration number? We can look all the vehicles details up using this.*

Please describe the truck:*

Year	Make	Model	Registration

Please describe the trailer:*

Year	Make	Model	Registration

What type of truck is it?*

What is the carrying capacity?*

The carrying capacity is the difference between the Gross Vehicle Mass and Tare Weight.

What type of trailer is it?*

Please select trailer type:*

Please select trailer type*

What is the operating radius of this item from home depot?*

Lower radius attract lower premiums

Does this truck have a crane attached?*

Please describe the machine*

Year	Make/Model	Type

Will this item be road registered?*

What is the current market value of this item including all attachments?*

Item 5

Please select the item category:*

Registration number? We can look all the vehicles details up using this.*

Please describe the truck:*

Year	Make	Model	Registration

Please describe the trailer:*

Year	Make	Model	Registration

What type of truck is it?*

What is the carrying capacity?*

The carrying capacity is the difference between the Gross Vehicle Mass and Tare Weight.

What type of trailer is it?*

Please select trailer type:*

Please select trailer type*

What is the operating radius of this item from home depot?*

Lower radius attract lower premiums

Does this truck have a crane attached?*

Please describe the machine*

Year	Make/Model	Type

Will this item be road registered?*

What is the current market value of this item including all attachments?*

Additional questions

Will any of the items be dry hired (without operator) out to a third party?*

Do you have a dry hire agreement?*

Please upload a copy if available

Drop files here or

Are there any regular drivers or operators under 25 years old?*

Have any person who will drive any of your plant/vehicles been convicted of a total of more than 2 traffic offences (excluding parking) in the last 3 years?*

In the past 5 years, have you or any of your drivers or subcontractors had any insurance declined, cancelled, refused, or special conditions/terms imposed or claims refused?*

Have any persons who will drive any of your vehicles / plant; had any motor claims or accidents in the last 5 years?*

Please describe the incidents: (plus symbol for extra rows)*

Date	Incident description	Value

In the past 5 years have you or any of your drivers had:- any license suspended, cancelled or amended to provisional; or any alcohol or dug conviction; or any dangerous driving offence; or any offence involving or interfering with a speed limiter?*

Please describe the incidents: (plus symbol for extra rows)*

Date	Incident description

Do you or any of your drivers have a physical or mental ailment/condition that detracts from your/their driving ability?*

Please describe the ailment/conditions

General Liability Insurance Qs

Please select limit of general liability insurance:*

Estimated annual turnover for the next 12 months?*

Do you engage subcontract drivers or operators? (under their own ABN)*

What would you pay subcontractors as a percentage of your turnover*

Do you engage third party labour hire? (under their own ABN)*

Have you had any claims or incidents in the past 5 years for general liability insurance or may give rise to a public liability insurance claim?*

Please describe the incidents: (plus symbol for extra rows)*

Date	Incident description	Value

Carriers Transit Insurance / HOOK Insurance (Tow Trucks)

Please thoroughly describe the goods you will be carrying:*

Please select a limit anyone conveyance:*

Do you perform accident relating towing?*

Do any of your vehicles have a wheel lift (two wheels on the truck and two on the road) for additional vehicles?*

What is the maximum value of the vehicles on the wheel lift?*

Have you had any claims or incidents in the past 5 years for carriers transit insurance or may give rise to a carriers transit insurance claim?*

Please describe the incidents: (plus symbol for extra rows)*

Date	Incident description	Value

Any other documentation or additional comments you would like to attach to the file?

Optional file upload

Drop files here or

Additional comments:

Compliance Q's

We are required to provide the following documentation before any advice or quotations can be provided, please review the following:

Financial Services Guide - Click Here

Please accept the below conditions to obtain an insurance quote from Insuregroup:*

I have read, understand and accept the financial services guide.
The answers I have provided are true and correct and I understand that if my answers are incorrect or fraudulent the insurer may refuse to pay a claim or cancel the insurance contract.

INSUREGROUP Operators Package

Personal details and history questions:

Comprehensive machinery or vehicle insurance Q's

Item 1

Item 2

Item 3

Item 4

Item 5

Additional questions

General Liability Insurance Qs

Carriers Transit Insurance / HOOK Insurance (Tow Trucks)

Any other documentation or additional comments you would like to attach to the file?

Compliance Q's