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TATTOO STUDIO PROPERTY COVER QUOTE FORM
STUDIO PROPERTY INSURANCE
LETS GO
1
YOUR HAVE A DUTY OF DISCLOSURE OBLIGATION
*
This field is required.
Ok, so before we start we need to tell you some things... Yes, it's boring, but we need to do this and it only takes 1 minute. Your Duty of Disclosure is your obligation, to be honest and tell us anything that is known to you and which a reasonable person would include in the answer to the questions we ask. This includes information that you may provide about other people who are seeking to be covered under a Contract of Insurance. E.g. insuring property that is owned by more than one person. To make an accurate assessment of the risk, insurers must be confident that the information disclosed is representative of the facts. If the information is not true, it is a misrepresentation. As per Sections 21 and 21A of the Insurance Contract Act, you must: - disclose matters that you know to be relevant to the policy, and - disclose matters that a ‘reasonable person in the circumstances’ would know to be relevant to the insurer. Under section 11 of the Act, your Duty of Disclosure applies when: - the policy contract is entered into, - at renewal, - if the policy is extended or reinstated, and - if you vary your policy via endorsement. It is important to understand that an Insurer can avoid a Contract of Insurance where the insured (that's you) or the insured’s broker (that's us) has misrepresented the facts that an Insurer has relied upon when deciding on whether to offer a Contract of Insurance and on what terms.
I agree
I don't agree
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2
Policy Start Date:
*
This field is required.
We can't back date a start date, so if you are not sure - choose today. We can sort this out later.
-
Date
DD
MM
YYYY
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3
Insured is:
*
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Individual / Sole Trader
Company
Partnership
Trust
Super Fund
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4
ABN:
ABN LOOK UP
if required
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5
Company Name:
This is the name that is registered with your ABN.
if required
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6
Trading Name:
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7
Please tell us your Name?
*
This field is required.
First Name
Last Name
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8
What is your Business Address?
*
This field is required.
We need a street address please - your postal address is the next question. If you are a mobile business please tell us your home base address.
Street Address
Street Address
City
State
Post Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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9
Do you have a different Postal Address?
If you don't have a postal address - just leave this blank
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10
What is your Phone Number?
*
This field is required.
Area Code
Phone Number
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11
Email:
*
This field is required.
This is so we can email you your quote.
example@example.com
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12
Description of business activities
*
This field is required.
Tattoo Studio
Tattoo and Piercing Studio
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13
How many Directors or Owners are there in the Business (including you)
*
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14
You're doing great. How many employees do you have?
*
This field is required.
This is the number paid employees you have including any Directors / Owners that also work in the business. Don't include your contracting artists just yet - that's the next question.
Head count - not FTE
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15
How many Sub-contracting Artists do you have?
Leave this blank if you don't have Sub-contracting Artists..
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16
Duties of sub-contracting Artists?
Tattooing Only
Piercing only
Both Tattooing and Piercing
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17
What is your estimated Annual Turnover:
*
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This is your income before any Wages, Expenses and Tax please
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18
Details about your Studio's building construction:
*
This field is required.
Please tell us the construction of the building where your Studio is located:
WALLS
FLOORS
ROOF
BUILDING LEVEL OF YOUR STUDIO
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19
What sort of security does your Studio have?
Please tick all that apply?
Alarm - local
Alarm - monitored by security company
Security patrols (after hours)
Grills / Bars on all windows
Grills / Bars on all doors, windows and plate glass
Deadlocks on all doors
Bollards
Monitoring Security Cameras (externally)
Monitoring Security Cameras (internally and externally)
Roller doors / Shutters
Wired Smoke Alarm/s
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20
We are nearly finished with all the questions. How much do you want to insure your Fitout and Contents for?
*
This field is required.
Fitout and contents is your Studio furniture, computers/printers, cash register / POS and any wall partitioning, sterilizing equipment, flashes etc. Don't include your 'stock' - that's the next question
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21
How much do you want to insure your Stock for?
*
This field is required.
Stock would be your consumables and inks etc
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22
Do you want Glass cover?
*
This field is required.
Don't forget to check your Lease, it may be a requirement of your Landlord that you have this cover. Note also that the Glass section of your policy also includes cover your Signs, Window Frames and Window Signwriting.
Yes please
No thanks - I don't need it.
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23
Do you want Money cover?
*
This field is required.
$2,000
$5,000
$10,000
No thanks - I don't need it.
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24
Do you want cover for Electronic Equipment Breakdown?
Yes please - $10,000
No thanks - I don't need it.
I'm not sure - quote me anyway please?
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25
In the past 5 years has any party lodged a Public or Products Liability claim against you?
*
This field is required.
Yes
No
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26
In the past 5 years have you made any claims for loss of Contents, Stock, or Money?
*
This field is required.
Yes
No
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27
Claim history details
Please tell us what happened, the year and the value of the claim.
Year, details of claim / action, outcome, is the claim finalised or ongoing?
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28
Statement: this business is not owned by or associated with any OLMG. (Outlaw Motorcycle Gang)
Yes - this statement is true
No - this statement is not true.
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29
Well done you're all finished. Before you hit that Submit button please tell us where you heard about us?
*
This field is required.
A Friend
Facebook
Local Google Search
A Reef IB Client referred me
Other
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TATTOO STUDIO PROPERTY COVER QUOTE FORM
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