Please complete all fields.
Before you enter into an insurance contract, you have a duty to tell us anything that you know, or could
reasonably be expected to know, may affect our decision to insure you and on what terms.
You have this duty until we agree to insure you. You have the same duty before you renew, extend, vary,
or reinstate an insurance contract.
You do not need to tell us anything that: reduces the risk we insure you for; or is common knowledge;
or we know or should know as an insurer; or we waive your duty to tell us about.
If you do not tell us something
If you do not tell us anything you are required to, we may cancel your contract or reduce the amount we
will pay you if you make a claim, or both. If your failure to tell us is fraudulent, we may refuse to pay
a claim and treat the contract as if it never existed.
This must be the business legal entity (usually a sole trader, partnership, or Pty Ltd company)