Online Quote - Truck Insurance HQ

Online Quote

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Name: *

Phone/Mobile: *

Email: *

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Suburb: *

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Postcode:

Preferred Contact Time:AMPMAfter Hours

When is cover Required:

Do you need Machinery or Motor Vehicle Insurance? YesNo

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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

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	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

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Sum Insured:

Turnover:

Do you provide storage / warehousing services? YesNo

Current Insurer:

Claims in the last 5 years:

Year	Description	Amount Paid

Comments:

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