Online enquiry

Are you the customer?

Yes

Reason for enquiry

Type of enquiry

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It’s important to know that your policy cover is flexible, you have control over your policy and you can make adjustments.
If the cost of your policy is a concern or if your circumstances have changed, you may be able to alter your policy so it aligns with your budget and current lifestyle. Learn more here. To explore your options further, contact our Customer Solutions team directly on 133 731 option 4 extension 50012 or speak to your adviser. Your adviser can advise you about matching your cover to your needs.

Policy number

What is your relationship to the customer

Adviser ID/Code

Describe your relationship

Your name

First name

Last name

Your contact details

Email address

Home number

Mobile number

Customer name

First name

Last name

Date of Birth

(DD/MM/YYYY)

What is your occupation title?

What industry do you work in?

How long have you been working in your current role?

Do you hold any professional/trade qualifications?

Please give details including the type of qualification and the name of the institution where the qualification was obtained

In your main occupation, what percentage of time do you spend performing the following types of duties. Total duties = 100%

Sedentary/Administrative

Supervising manual work

Light manual

Heavy manual

Home duties (please include details of dependants including ages and any other relevant information)

Other (including hazardous duties e.g. handling dangerous substances, working at heights/underground/offshore or refinery)

Do you have any other occupation or jobs?

Please provide details including job title, duties, number of hours per week worked and annual income derived from your other occupation or jobs

For proposed upgrades to AA rating only - please advise your annual income for the past 2 financial years

Do you work in the mining industry?

Soft rock or hard rock?

Do you work underground?

Are you involved with the use of explosives?

Customer address

Country

Address

Customer contact details

Email address

Home number

Mobile number

Reason for enquiry

Request type

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Comments to support your enquiry

Please attach any supporting documents you find relevant

Attach document/s

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Online enquiry

Step 1: Your details

Step 2: Your communication preferences

Step 2: Your enquiry

What you need to know