Online Quote - Truck Insurance HQ

Online Quote

Name: *

Phone/Mobile: *

Email: *

Address line 1: *

Address line 2:

Suburb: *

State: *

Postcode:

Preferred Contact Time:AMPMAfter Hours

When is cover Required:

Do you need Machinery or Motor Vehicle Insurance? YesNo

[cf7mls_step cf7mls_step-1 "Next" ""]

Goods Carried:

Years in Business:

Current Insurer:

No Claim Bonus:

Claims in the last 5 years:

Year	Description	Amount Paid

Owner Driver:YesNo

Do you need to insure Goods you Transport? YesNo

[cf7mls_step cf7mls_step-2 "Back" "Next" ""]

	Load limit to insure	Annual turnover from transporting
General Freight
Refrigerated
Dangerous Goods
Logging
Furniture Removals
Livestock
Vechicles/Machinery
Other

Do you use a consignment note?YesNo

Current Insurer

Claims in the last 5 years:

Year	Description	Amount Paid

Do you need Public Liability Insurance? YesNo

[cf7mls_step cf7mls_step-3 "Back" "Next" ""]

Sum Insured:

Turnover:

Do you provide storage / warehousing services? YesNo

Current Insurer:

Claims in the last 5 years:

Year	Description	Amount Paid

Comments:

[cf7mls_step cf7mls_step-4 "Back" ""]