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    {typeA197} Motor Insurance

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  • Is the vehicle being rented out to anyone?*
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    (c) National Cover Pty Ltd 2024
    ABN 74 639 621 480 | Corporate Authorised Representative of Shanebridge Pty Ltd
    ABN 16 011 049 899, AFSL 245566

    PO Box 22 Coopers Plains QLD 4108

    insurance@nationalcover.com.au   |   Privacy Policy   |   General Advice Warning

  • Contact Details

  • Customer Type*
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  • Format: 0400 000 000.
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    (c) National Cover Pty Ltd 2024
    ABN 74 639 621 480 | Corporate Authorised Representative of Shanebridge Pty Ltd
    ABN 16 011 049 899, AFSL 245566

    PO Box 22 Coopers Plains QLD 4108

    insurance@nationalcover.com.au   |   Privacy Policy   |   General Advice Warning

  • Driving History

  • Will any driver operate the Vehicle(s) holding ONLY an International Driver’s Licence? (e.g. without a valid Australian Driver’s License)*
  • Does the vehicle's owner drive their car?*
  • Have all of the drivers of the Vehicles held their Australian Driver’s Licence for a minimum of two (2) years?
  • Main driver's current licence type?
  • Have any drivers incurred any demerit points in the last three years?
  • Have you made any car insurance claims in the last 5 years?*
  • List claim/s*
  • Car insurance claims the main driver has made in the last 5 years?
  • In the last 5 years, have any of the drivers to be listed on this policy been declared bankrupt or had a default judgement registered against them (whether voluntary or not) for any outstanding debts?*
  • Have any of the drivers to be listed on this policy had their driver's licence suspended or cancelled in the last 3 years (this does not include suspensions relating to parking tickets)?*
  • Have any of the the drivers to be listed on this policy been convicted for drink, drug or other criminal offences in the last 5 years?*
  • In the last 3 years, have you or anyone to be insured under this policy had an insurance policy declined or cancelled, a renewal declined, special terms imposed, or had a claim refused?*
  • Have any of the drivers to be listed on this policy had a claim denied for fraud or dishonesty?*

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    (c) National Cover Pty Ltd 2024
    ABN 74 639 621 480 | Corporate Authorised Representative of Shanebridge Pty Ltd
    ABN 16 011 049 899, AFSL 245566

    PO Box 22 Coopers Plains QLD 4108

    insurance@nationalcover.com.au   |   Privacy Policy   |   General Advice Warning

  • About Your Car

  • Is your vehicle registered with an 'H' plate (e.g., HC1234) and used as a limousine or chauffeur vehicle?*
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  • Additional Vehicles
  • Exclude drivers under 25?*
  • Is the car ever used for ridesharing, peer-to-peer car sharing or delivery?*
  • Have you purchased your car in the last 12 months and are you the first registered owner?*
  • Has this car been continuously insured with either third party property damage or comprehensive car insurance for the last 30 days?*
  • Is the car currently financed?*
  • Does the car have any modifications?*
  • Approximate kilometres driven each year?*
  • How many days a week on average is the car used for trips to work or study?*
  • Is the car/ vehicle currently undamaged, roadworthy and registered?*
  • Is the car driven three or more weekdays, on average, between the following peak times? (7:30am-9:30am and/or 3pm-6:30pm) (Peak times are applicable to both metro and regional areas.)*
  • How is the car normally parked at night?*
  • The address the car is normally kept at night?

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    (c) National Cover Pty Ltd 2024
    ABN 74 639 621 480 | Corporate Authorised Representative of Shanebridge Pty Ltd
    ABN 16 011 049 899, AFSL 245566

    PO Box 22 Coopers Plains QLD 4108

    insurance@nationalcover.com.au   |   Privacy Policy   |   General Advice Warning

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  • Do you require Roadside Assistance?*
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    (c) National Cover Pty Ltd 2024
    ABN 74 639 621 480 | Corporate Authorised Representative of Shanebridge Pty Ltd
    ABN 16 011 049 899, AFSL 245566

    PO Box 22 Coopers Plains QLD 4108

    insurance@nationalcover.com.au   |   Privacy Policy   |   General Advice Warning

  • Price Guarantee

  • Why We Ask for Your Current Price

    By knowing who you’re insured with and what you currently pay, we can benchmark your quote, identify savings, and offer a more competitive price based on real comparisons.

  • Has your car previously been insured?*
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    (c) National Cover Pty Ltd 2024
    ABN 74 639 621 480 | Corporate Authorised Representative of Shanebridge Pty Ltd
    ABN 16 011 049 899, AFSL 245566

    PO Box 22 Coopers Plains QLD 4108

    insurance@nationalcover.com.au   |   Privacy Policy   |   General Advice Warning

  • Broker Appointment

  • Why We Require a Signed Broker Appointment

    We need a signed broker appointment so we can contact insurers directly and request competing quotes on your behalf. This allows us to negotiate better pricing and cover tailored to your needs. Your information is kept completely secure and is never shared with third-party service providers.

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    (c) National Cover Pty Ltd 2024
    ABN 74 639 621 480 | Corporate Authorised Representative of Shanebridge Pty Ltd
    ABN 16 011 049 899, AFSL 245566

    PO Box 22 Coopers Plains QLD 4108

    insurance@nationalcover.com.au   |   Privacy Policy   |   General Advice Warning

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