Online Application

Company Name*

Trading Name*

Office Address*

City*

State*

Postcode*

Contact Name*

Contact Number*

Email Address*

Years in Operation*

Annual Turnover Previous Year*

Estimated Annual Turnover for the Forthcoming Year*

Please confirm the business activities (must add up to 100%)

Auctioneering*

Property Management (Residential)*

Body Corporate Managers*

Residential Sales*

Business Brokers*

Rural Sales*

Commercial Sales*

Stock and Station Agents*

Property Management (Commercial)*

Other*

Limit of Indemnity Required*
$1,000,000$2,000,000$5,000,000$10,000,000

Do you require a combined Professional Indemnity & Public Liability Policy?*
YesNo

Have you lodged a claim or notification on your PI policy within the last 5 years?*
YesNo