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Tradesman's Liability Renewal Form...

Please fill out the following form. Once you have completed the form, click the Submit button to send your information. Your insurance renewal will be handled promptly.

NOTE: Make sure you put in your correct email address as a copy of this submission will be emailed to that address.


Client Code:
   (refer email)
Insured Name:

Email Address:

No.of employees:

Annual Turnover:

Occupation:
Occupation - Please give full details of your business operations:

Does your business:
Do welding or hot cutting activities away from your own premises? Yes    No
Perform work at mine sites, either above or below ground? Yes    No
Provide products or services meant for use in the mining industry? Yes    No
Provide equipment on hire? Yes    No
Import any products into Australia? Yes    No
Export any products to the USA or Canada? Yes    No
Please give full details for any ticked activities above:


Are You involved in any of the following activites?
Shipping / Port Authorities Yes    No
Aircraft / Airports / Airlines Yes    No
Public Utilities (ie Power Plants, Water Treatment, Communication) Yes    No
Dams Yes    No
Railways Yes    No
Chemical Manufacturers Yes    No
Oil and/or Gas Production Yes    No
Please give full details for any ticked activities above:

Do you employ contractors or sub-contractors? Yes    No
If "YES", do you make sure they have their own Liability cover? Yes    No
Do you engage personnel provided through labour hire companies? Yes    No

Workcover / Workers Compensation
Workers Compensation insurance is compulsory for all employees. You need to be very careful about what the definition of an employee is and this can vary from state to state. You need to be especially careful when hiring sub-contractors as they can sometimes be deemed to be employees under the various state workcover acts.The best course of actions is to call your state workcover authority for a ruling.

If you have no cover in place, then you should arrange cover immediately.

Would you like us to send out a Workcover application form to you? Yes    No










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