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Quote Form

Take the first step, complete the quick quote form below and we will be in touch to talk about options for you. All information will be kept confidential and only used in order to gather terms from the market.

What is your estimated insurable turnover for the upcoming 12 months?

VictoriaSouth AustraliaTasmaniaAus Capital TerritoryNew South WalesQueenslandNorthern TerritoryWestern AustraliaTOTAL TURNOVER

All figures. Wherever possible. Should exclude the value of deliveries to and/or work with associated and subsidiary companies, government departments, sales tax, gst. retention monies, cash sales and sales to the public. If special terms of payment apply to any accounts. Please advise.

Bad debt experience for the last three years is required in order to assess the risk. If possible could you provide us with a list of the largest two debts written off each of the past three years and collate the following information as a summary.

Financial Year ended 2015Total number losses
Total turnoverTotal bad debts
Top 2 losses
Financial Year ended 2016Total number losses
Total turnoverTotal bad debts
Top 2 losses
Financial Year ended 2017Total number losses
Total turnoverTotal bad debts
Top 2 losses

Please attach the following documents

Recent aged debtors trial balance A report summarising overdue debts which are greater than 90 days detailing any accounts that may bin financial difficulty Ten largest customers including full legal entity, abn , suitable credit limit

This form is the initial data required to assess non-binding quotations