Worldwide Sports Insurance
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Quote Request: Clubs
All red fields are mandatory and must be completed.
Details
Name of Club
(required)
Contact Name
(required)
Address
(required)
Suburb/Town
(required)
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
(required)
Postcode
(required)
Email
(valid email required)
Telephone
(required)
Public Liability Insurance
Do you require a quotation for Public Liability Insurance?
Yes
No
Number of Members
(required)
Number of Events organised by your teams per year?
(required)
Public Liability Limit of Indemnity required?
Choose one...
$2m
$5m
$10m
$20m
(required)
Period of Insurance - Start
(required)
Period of Insurance - End
(required)
Have you had any previous claims?
Yes
No
If yes, please provide details
Number of coaches/referees
(required)
Personal Accident Insurance
Total number of members
(required)
Number of senior players
(required)
Number of senior teams
(required)
Number of junior players
(required)
Number of junior teams
(required)
Have you had any previous claims?
Yes
No
If yes, please provide details
Property Insurance
Do you require Property Insurance?
Yes
No
Property Address
Suburb/Town
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
Approximate age of premises (yrs)
Renewal Date
Premium
Are the buildings constructed only of brick, stone, concrete or other non combustable mateirals and roofed with slates, tiles, concrete or other non-combustable materials?
Yes
No
If the answer to the above is no, please provide full details of construction and advise what percentage of the building does not comply with the above construction.
Are the premises occupied solely by yourselves?
Yes
No
If no please provide details
Are the premises
Choose one...
Detached
Semi Detached
Terraced
Are the premises
Choose one...
Residential
Commercial
Industrial
Rural
Sums Insured
Building
(required)
Other Buildings
(required)
Stands
(required)
Floodlights
(required)
Contents
(required)
Stock
(required)
Wines/Spirits/Tobacco
(required)
Trophies
(required)
Theft
(required)
Money
(required)
Glass
(required)
Business Interuption - Gross Revenue
(required)
Business Interuption - Book Debts
(required)
Business Interuption - Increased cost of working
(required)
Business Interuption - Loss of licence
(required)
Are all accessible doors deadlocked?
Yes
No
Are all accessible windows grilled/barred?
Yes
No
Do all accessible windows have key-operated window locks?
Yes
No
Are the premises alarmed?
Yes
No
Is it monitored?
Yes
No
Is it back to base?
Yes
No
Have you had any previous claims?
Yes
No
If yes, please provide details
Additional Information
Additional Information
I confirm that the details I have entered are correct
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