Commercial Legal Expenses Online Quote Form

  • Commercial Legal Expenses Online Quote Form

  • Please complete the following information and submit this form to obtain an insurance quotation for Commercial Legal Expenses Insurance.

    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

  • Do you operate within the Construction / Building industry?
  • Has the insured or any director or partner involved with the business or any other business experienced any claims or are aware of any circumstances including regulatory investigations that could give rise to a claim that may have been covered by this policy?*
  • Has the insured or any director or partner involved with the business or any other business have in the past 5 years ever been convicted of an offence relating to the Health and Safety of their employees or members of the public in connection with their business?*

  • 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.

  • 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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