CGIB Public Liability Form

  • CGIB Public Liability Insurance - Online Quote Form

  • Please complete the following information and submit this form to obtain a Public Liability insurance quotation for your business.

     All information you provide must be correct, true, and accurate as incorrect or misleading information may alter our quote and jeopardise cover if you proceed with a policy.

    Please ensure you read the CGIB Customer Information Page before filling out this form.
    This includes essential documents such as our Financial Services Guide, General Advice Warning, Privacy Statement, and Duty of Disclosure.

    Click on one of the following links if you would like to obtain a quote for another type of insurance product 

    Business Insurance

    Trades Insurance

    Please see our helpful video on Public & Products Liability Insurance for further infomation.

    If you are having any issues completing this form please contact our office on: 1300 764 244 or 03 8841 4200 and one of our Team will be able to assist you.

  • INSURED'S Details

  • PUBLIC & PRODUCTS LIABILITY

    For amounts you become legally liable to pay as compensation for Personal injury or Property Damage as a direct result of an occurrence happening in connection with your business - subject to the Insurers PDS/Policy Wording

  • Please see our short video on Public & Products Liability Insurance for further infomation.

  • Is / Does your business*
  • Does the business import any of the following*
  • Does the business hire out any of the following?*
  • Do your operations include any of the following*

  • PREVIOUS INSURANCE Details

  • Please provide the date your existing policy expires *
     - -

  • Duty of Disclosure

    Have you or any partner/s or director/s of the business
  • Ever had any insurance cancelled or declined or special terms imposed?*
  • Ever been declared bankrupt?*
  • Been involved in a company or business which became insolvent or subject to any form of insolvency or voluntary administration (e.g liquidation or receivership)?*
  • Been convicted of any criminal offence within the past 5 years (other than minor traffic convictions)?*
  • Been liable for a civil offence or pecuniary penalty (exceeding $5,000)?*
  • Aware of any matters not disclosed above that is relevant to the underwriters consideration of this insurance?*

  • Claims Experience

  • CONTACT Details

  • Format: 0000 000 000.
  • Is Postal Address the same as the Business Address

  • IMPORTANT INFO

  • By proceeding you agree to the Terms of Use of this site and that you have read and understood this Important Information about answering questions that we ask of you.
    We will handle your personal information in accordance with our Privacy Policy.

    Completion of this form does not put an insurance policy/cover in place - you will need to contact us to arrange insurance cover.

  • Other Insurance Needs

  • Do you require any further information on other insurances?

  • * Mandatory Fields


    Thank you for completing our online form.
    We will endevour to contact you with your insurance details soon.

     

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