Driving History

In the last 5 years have you

By selecting any of the below as "Yes" will require completion of the table below

In the last 5 years have you

By selecting any of the below as "Yes" will require completion of the table below

You can obtain your traffic history by clicking on this link: Queensland Traffic History Request

COVID POLICY 

Duty of Disclosure

This policy is subject to The Insurance Contracts Act 1984. Under that Act you have a duty of disclosure. This means when you ask for cover, you must tell us all that you know about the risk that you want covered that may affect our decision to offer you cover and the terms to apply and the cost of such cover as well as the terms of the cover offered and the cost of such cover. If you don’t tell us something that you know that may affect our decision to offer you cover or the terms of that cover, we may be allowed to reduce the amount that we have to pay for a claim to nothing. We may even be allowed to cancel this policy from the date that the cover started if you fail to disclose or deliberately keep information from us or mislead us. You do not have to tell us of anything that reduces the risk of a claim, that is common knowledge or we should know as a normal part of our business.

Privacy

The Privacy Act 1988 (as amended) seeks to ensure the confidentiality and security of any personal information and we, are committed to ensuring confidentiality and security. The Hollard Insurance Company Pty Ltd Privacy Policy detailing our handling of personal information is available on request. You may request access to information held by us about you, by contacting us.

Declaration

I/We declare that this Duty of Disclosure and Privacy Statement has been read and understood by me/us. All answers are true and correct and no information has been withheld which is likely to affect the acceptance of me as a driver.