Authority to Review & Quote
Policies you authorize us to collect your previous claims history on


Authority To Review and Quote

To whom it may concern,

Effective , I authorise the current and former insurers of to provide Insurance HQ Pty Ltd (Authorised Representative of Oracle Group (Australia) Pty Ltd, AFSL No. 363610) with all information which they request regarding the insurances and claims history over the past 5 years for


Policy Number:

This authority is provided to enable Insurance HQ Pty Ltd to review and quote for our insurances. It does not appoint them as our insurance broker. Whilst this Letter of Authority to Review & Quote is not on letterhead, I attest to its authenticity and intent in my capacity as .

Yours faithfully