Professional Indemnity Insurance - Accountants

Premiums start at $680.00 for $1,000,000 Professional Indemnity cover

To receive a confirmed quote, please complete the form below.
You will receive a quote on the same business day or the next business day if received after hours.

If you prefer to talk to a broker first, please call Liability Brokers 1300-881-779 between 8.15am and 5.15pm E.S.T. business days and receive an indicative quote over the phone.

If you have spoken to someone in our office , please note their name here so that this form can be processed by them as they will know something about you already.

Brokers Name:

Client Details

Insured Name:

Trading Name:

ABN No.(if applicable):

Full Address:

Email Address:

Website Address (if applicable):

Telephone No:

Start date of business:

Are you a member of Chartered Accountants Australia and New Zealand?
Yes No

If YES, Liability Brokers have undertaken to obtain for their members, policies which meet their requirements as set out in Regulation CR2A

Do You require cover for any prior or associated company?
Yes No

Qualifications

Do you hold the necessary qualifications to perform all the duties of your profession?
Yes No

Previous Insurance

Have you been previous insured for Professional Indemnity ?
Yes No

If you answered "Yes", please provide the following details:

Insurers Name

Limit of Indemnity ($)

Expiry date

Professional Duties

Please provide Us with a breakdown of Your business activities.

Revenue by Type of Service - (must add up to 100%)
Accounts preparation / bookkeepers	%
Audit (non profit)	%
Audit (public company, financial institution)	%
Audit (superannuation funds only)	%
Audit (all other)	%
Business/ Mortgage/Finance Broking	%
Company secretary / director	%
Forensic Accounting	%
Information Technology/Software Sales	%
Insolvency	%
Insurance agency	%
Investment advisers / financial planners	%
Management consultancy	%
Mergers & acquisitions (including business valuations)	%
Superannuation / trustee	%
Taxation	%
Other activities	%
If "Other Activities, please give full details:

Quote Required

Please nominate the amount of covers you require:

Professional Indemnity .	Public Liability
$500,000	Not required
$1,000,000	$5,000,000
$2,000,000	$10,000,000
$5,000,000	$20,000,000

Note: If you are a member of Chartered Accountants Australia and New Zealand, the minimum cover for Professional Indemnity is $2,000,000

Underwriting questions

Number of directors / partners
No. of qualified staff (other than directors)
Gross Fees last 12 months - If Nil, put in 0
Australia
USA/Canada
Elsewhere
Estimated Fees next 12 months - If Nil, put in 0
Australia
USA/Canada
Elsewhere

Stamp Duty

State the percentage of Your activities (based on income) applicable to each State

ACT	NSW	NT	QLD
%	%	%	%

SA	TAS	VIC	WA	O/Seas
%	%	%	%	%

Contractors

Do you employ contractors, sub-contractors?
Yes No

Insured's History

The term "You" has the following meaning in the questions below: principals, partners, directors or staff members, or any of the Intended Insureds predecessors, or any prior practice of any of its present or former partners, principals or directors

Have "You" ever been subject to disciplinary proceedings or actions for misconduct in a professional respect?
Yes No

Have "You" ever been subject to any claims for civil liability or breach of professional duty in the last ten years?
Yes No

Have "You" notified circumstances to insurers that may give rise to such a claim?
Yes No

Are "You", after reasonable enquiry of all staff and managers, aware of any other facts or circumstances which may give rise to a professional indemnity insurance claim?
Yes No

Security: Type the above number:

Declaration

By submitting this Declaration, I/we declare and agree that:

I/we have the consent of all other persons covered by this policy to make this Declaration,
the contents of this Declaration are true and complete,
I/we have read the information concerning the duty of disclosure (immediately below this declaration);
I/we have answered every question fully and frankly, have been truthful and accurate in completing this application and have not withheld any information likely to affect the acceptance of this insurance;
I/we realise that if I/we have not complied with the duty of disclosure, any claims may not be met
if anything happens during the Period of Cover which alters any of the information provided, I/we will promptly inform the insurer;
I/we confirm that I/we have read and understood that this policy operates on a claims made and notified' basis; (refer - Claims Made Policy below)

Name of person making this declaration:

Duty of Disclosure What you must tell us
Under the Insurance Contracts Act 1984 (the Act), you have a Duty of Disclosure. You are required before you enter into, renew, vary, extend or reinstate your Policy, to tell us everything you know and that a reasonable person in the circumstances could be expected to know, is a matter that is relevant to our decision whether to insure you, and anyone else to be insured under the Policy, and if so, on what terms.

You do not have to tell us about any matter
that diminishes the risk
that is of common knowledge
that we know or should know in the ordinary course of our business as an insurer, or
which we indicate we do not want to know.
If you do not tell us

If you do not comply with your Duty of Disclosure we may reduce or refuse to pay a claim or cancel your Policy. If your non-disclosure is fraudulent we may treat this Policy as never having worked.

Claims Made Policy
The Professional Indemnity section of this Policy operates on a 'Claims made and notified' basis. This means that the Policy covers you for Claims made against you and notified to us during the Period of Insurance.
This Policy does not provide cover in relation to:

acts, errors or omissions actually or allegedly committed prior to the retroactive date of the Policy (if a date is specified);
claims made after the expiry of the period of insurance even though the event giving rise to the Claim may have occurred during the period of insurance;
claims notified or arising out of facts or circumstances notified (or which ought reasonably to have been notified) under any previous Policy;
claims made, threatened or intimated against you prior to the commencement of the period of insurance;
facts or circumstances of which you first became aware prior to the period of insurance, and which you knew or ought reasonably to have known had the potential to give rise to a Claim under this Policy;
Claims arising out of circumstances noted on the proposal form for the current period of insurance or on any previous proposal form.

Where you give notice in writing to the insurer or any facts that might give rise to a claim against you as soon as reasonably practicable after you become aware of those facts but before the expire of the period of cover, you may have rights under Section 40(3) of the Insurance Contracts Act 1984 to be indemnified in respect of any claim subsequently made against you arising from those facts notwithstanding that the claim is made after the expiry of the period of cover. Any such rights arise under the legislation only. The terms of the Policy and the effect of the Policy is that you are not covered for claims made against you after the expiry of the period of cover.