1300 170 328
9am-5pm
REQUEST A QUOTE
1300 170 328
9am-5pm
REQUEST A QUOTE
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Truck insurance quote
Truck Insurance Quote
Single Truck
Multiple Trucks
Single Truck
Name
Full Name
*
Company Name (if any)
*
Full address
*
Email
*
Contact Number
*
Renewal date / proposed start date
*
Coverage Details
Type of Vehicle
*
Please Select
PRIME MOVER
RIGID- Cab Chassis
RIGID - Pantech body
RIGID - Refrigerated Pantech
RIGID – Tautliner body
RIGID - Concrete Agitator/pumping
RIGID – Compactor body
RIGID - Skip Bin body
RIGID - Table Top
RIGID – Tipper body
RIGID – Tow Truck
Forklift/Crane
Planten Missionary
Other Plants & Equipment
Other
Year, Make and Model ( Truck details )
*
Sum Insured (Vehicle value) $
*
Registration Number
*
Carrying Capacity (GVM - TARE WEIGHT)
*
Please Select
10 ton & over
5 ton to 9.9 ton
3.5 ton to 4.99 ton
2 ton to 3.49 ton
under 2 ton
Base operation postcode and Suburb
*
Radius of operation
*
Please Select
250km
400km
600km
1000km
1500km
Australia-wide
Type of goods carried
*
Please Select
General goods
Waste disposal
Refrigerated goods
Furniture
Bulk hazardous
Vehicle carrier
Livestock
Building Industry
Plant & Equipment
Tipping
Logging
Other
Trailer cover required
*
Please Select
Yes
No
Public Liability cover required
*
Please Select
Not Required
$10 M
$20 M
$30 M
More
Marine ( goods in transit cover)
*
Please Select
Not Required
$ 50,000
$ 100,000
$ 200,000
$ 500,000
$ 1M
More
Do you require finance for the vehicle?
Disclosure Questions
Number of year’s business established
*
Please Select
New venture
1 year
2 years
3 years
4 years
5 years
5+ years
Number of years continuously insured
*
Please Select
No previous insurance
1 year
2 years
3 years
4 years
5 years
5+ years
Name of current insurer
*
Number of claims in the last 5 years
*
Please Select
None
One
Two
Three
Four
Four +
Age of the regular driver
*
Number of years relavant truck licence held
*
Please Select
1 years
2 years
3 years
4 years
5 years
5+ years
Have you or any driver had any of the following driving convictions in the last 5 years?
*
Please Select
None
DUI or PCA
Licence Suspended/Cancelled
More than 2 traffic offences/ speeding fines
Criminal convictions in the last 10 years
Multiple Trucks
Order Number
Full Name
*
Company Name (if any)
*
Full address
*
Email
*
Contact Number
*
Renewal date / proposed start date
*
Coverage Details
Number of trucks
*
Please Select
1
2-5
5-10
10+
Type of Vehicle
*
Please Select
PRIME MOVER
RIGID- Cab Chassis
RIGID - Pantech body
RIGID - Refrigerated Pantech
RIGID – Tautliner body
RIGID - Concrete Agitator/pumping
RIGID – Compactor body
RIGID - Skip Bin body
RIGID - Table Top
RIGID – Tipper body
RIGID – Tow Truck
Forklift/Crane
Plant & Machinery
Other Plants & Equipment
Other
Type of Tralier (if any)
*
Base operation postcode
*
Radius of operation
*
Please Select
250km
400km
600km
1000km
1500km
Australia-wide
Type of goods carried
*
Please Select
General goods
Waste disposal
Refrigerated goods
Furniture
Bulk hazardous
Vehicle carrier
Livestock
Building Industry
Plant & Equipment
Tipping
Logging
Other
Trailer cover required
*
Please select
Yes
No
Public Liability Cover required
*
Please Select
Note Required
$10 M
$20 M
$30 M
More
Marine ( goods in transit cover )
*
Please Select
Not required
$ 50,000
$ 100,000
$200,000
$ 500,000
$ 1M
More
Disclosure Questions
Number of years business established
*
Please Select
New venture
1 year
2 years
3 years
4 years
5 years
5 + years
Number of claims in the last 5 years
*
Please Select
None
One
Two
Three
Four
Four +
Have you or any driver had any of the following driving convictions in the last 5 years?
Please Select
None
DUI or PCA
Licence Suspended/Cancelled
More than 2 traffic offences/ speeding fines
Criminal convictions in the last 10 years
Name of current insurer
*
Number of years continuously insured
*
Please Select
No previous insurance
1 year
2 years
3 years
4 years
5 years
5 +years
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