For more information, please review our FAQ page. Please complete the form below to obtain a quotation and arrange cover today.
Please confirm that your annual turnover is $150,000 or under* : Yes If your annual turnover exceeds $150,000, please contact us on 07 3367 2200 or firstname.lastname@example.org to obtain an alternative quotation.
State -- Please select --ACTNSWNTQLDSATASVIC
DECLARATION FOR PURPOSES OF SEEKING SMALL BUSINESS EXEMPTION UNDER DUTIES ACT 1997 (NSW) NSW Small Business Stamp Duty Exemption Declaration At the time that the contract of insurance being applied for is effected or renewed (as applicable), I am/will be a small business as defined in section 259A of the Duties Act 1997 (NSW) (the Act) for the purposes of the small business exemption in section 259B of the Act. Yes No
From the following two options, please select the occupation description applicable to the work performed: ---General home care & servicesNursing level care and services
Have you obtained all necessary qualifications to carry out your work? (Select “no” if there are no qualifications required for your position) Yes No
Are you aware of any circumstance or incident which may give rise to a claim against you? Yes No
If “Yes”, please give details
Are you aware of any prosecution or investigation (actual or pending) of your business under any international, commonwealth, state or local statute, legislation, regulation or by law or have you ever been subject to any disciplinary action, been fined or penalised, or been the subject of an inquiry investigation or alleging professional misconduct? Yes No
Have you ever had any insurer decline a proposal, imposed any special terms, cancelled or refused to renewal a professional indemnity insurance policy? Yes No