CGIB - Annual Carriers (Goods in Transit) Insurance Online Form

CGIB - Annual Carriers (Goods in Transit) Insurance Online Form
Please complete the following information and submit this form to obtain an insurance quotation.

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.

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
Insured / Business Name*
ABN
Business Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Postal code search*
Number of years operating this business *
Number of Employees *
TRANSIT Details
Sum insured / Limit per conveyance*
Total Gross Freight Earning*
Mode of Transport*

AirRailSeaRoad
Vehicle Type *
Radius of transit
Are items new or used*

NewUsed
DESCRIPTION of goods

Please provide a breakdown of the goods the Total must equal 100%
General
Heavy Machinery
Dangerous Goods
Grain & Fertilizer
Refrigerated
Oversize / Overdimensional
Tanker (non dangerous)
Cars / Boats / Vehicles (non machinery)
Caravans
Alcohol
Cigarettes & Tobacco Products
Livestock
House to House Removalist
TOTAL - must equal 100%
Goods details/description of items you transport*
PREVIOUS INSURANCE Details

MUST COMPLETE ALL QUESTIONS
Do you currently hold an insurance policy?*
Please provide the date your existing policy expires *

DayMonthYear
Date
Please select the name of the Insurer*
Provide existing insurer name*
Have you ever suffered any losses or claims?*

YesNo
Have you ever had any insurance cancelled or declined or special terms imposed?*

YesNo
Have you ever been charged or convicted of any criminal offence or declared bankrupt?*

YesNo
Are you aware of any matters not disclosed above that is relevant to the underwriters consideration of this insurance?*

YesNo
Please provide all relevant information to all questions answered "Yes"*
CONTACT Details
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Is the Postal Address different from the Business Address?*
Postal Address*

Street Address

Street Address Line 2

CityState

Post Code
Postal code search*
How did you find us?*
Please provide details
Comments / Additional Information
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?

Office InsuranceManagement LiabilityLandlords CommercialLandlords ResidentialPublic LiabilityCyberMotor VehicleHome & ContentsPlant & MachineryTravel
* Mandatory Fields

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

CGIB - Annual Carriers (Goods in Transit) Insurance Online Form

INSURED'S Details

TRANSIT Details

DESCRIPTION of goods

PREVIOUS INSURANCE Details

CONTACT Details

IMPORTANT INFO

Other Insurance Needs