Commission Consent Declaration

Following recent changes in legislation, Willis Temby is now required to obtain your informed consent before receiving commission on any Retail Insurance product(s) arranged on your behalf.

We have always proactively declared this income through our quotations, invoices, and supporting documentation. This new step simply formalises our long-standing practice.
Name of Policyholder(s)*

First NameLast Name
Business Name
(if applicable - leave blank of not applicable)
Business Name*

First NameLast Name
Email*
example@willistemby.com.au
Phone Number

Area CodePhone Number
Please select your regular Advisor (if known)

Displayed below is the range of commissions Willis Temby will earn in connection with the provision of personal advice in connection with your Retail Insurance products. It is a requirement of the law that your consent must be obtained before we receive payment of an insurance commission. The actual amount earnt by Willis Temby will be shown on your insurance quotation document and/or client invoice.

Type of Insurance	Commission (as % of Base Premium)
Motor Vehicle	0.00% to 15.00%
Residential Building and/or Contents	0.00% to 22.50%
Landlords	0.00% to 22.50%
Residential Strata	0.00% to 20.00%
Personal Accident & Sickness	0.00% to 25.00%
Pleasure Craft	0.00% to 20.00%
Travel	0.00% to 20.00%

This commission will be received annually (or monthly where you have elected to pay your premium by-the-month).

Private Client Advisory Services

The Private Client Advisory Services we will provide to you in respect of your Retail Insurance products are outlined in our Private Client Advisory Services brochure which you can access here.

Terms of Engagement & Financial Services Guide

For full details of the services we offer and how we operate, you should consult our Combined Financial Services Guide & Terms of Engagement document which you can access here. A copy of our Combined Financial Services Guide & Terms of Engagement will be sent to you upon submission of this consent declaration.

This consent is irrevocable

This consent will apply to all future renewals of these policies and is irrevocable. We may vary the consent by mutual agreement.

Willis Temby will obtain a new consent or seek a variation of the consent from you in connection with the renewal or variation of an insurance product if:
- The information disclosed to you is changed at the renewal, and
- The rate or frequency of commission benefit received after renewal is greater than the rate or frequency of monetary benefit previously disclosed.
I have read and understand that Willis Temby earns commission(s) as outlined above. By signing below, I confirm my consent to them receiving commission(s) for the placement and management of my insurance policies.*

Clear
Name of Person Providing Consent*

First NameLast Name
Should be Empty: