• CGIB Professional Indemnity Insurance Online Quote Form for Accountants

  • Professional Indemnity Insurance 

    Protects you against civil liability claims for compensation arising from a breach of your professional services. To be considered where you provide a service and/or advice either for a fee or where you provide a service including advice that's deemed to be of a professional nature, and a third party may sustain a loss resulting from your acts, errors, or omissions from services and/or advice. Subject to the insurers Policy Wording.


    For your convenience, I've included a link to our Professional Indemnity Insurance Product video which can provide additional information Click Here

    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.

  • Section 1- Details of the insured

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  • Format: (000) 000-0000.
  • 5. Date business established*
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  • (b) Does the Insured hold a practising certificate with any of the Professional Body/s or Associations noted in 6(a) above?*
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  • 9. Has the Insured been involved in any mergers or acquisitions in the last five years?*
  • 10. Has the Insured been involved in any joint ventures in the last five years?*
  • 11. Is Previous Business cover required for the previous business of any principal, director or partner?*
  • If Yes, please advise:
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  • 12. Does the Insured have an Australian Financial Services Licence?*
  • 13. Is the Insured represented in any way outside Australia?*
  • If Yes, please state Country, Fees/Turnover, Number of Staff and Number of Offices
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  • 14. Is the Insured represented in any way in the USA?*
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  • 16. Stamp Duty Declaration - Please provide a percentage breakdown of fees / turnover by location as follows (use 0 if needed total should not exceed 100%)

  • This Field must equal 100%!

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  • Audit Supplementary Questions

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  • 2. Has the Insured undertaken any other audit activities in the past not already shown in Q 1 above?*
  • If Yes, please provide full details by separate attachment.
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  • Insolvency, receivership and liquidation supplementary questions

  • Complete this section only if "Insolvency, receivership and liquidation" work is disclosed in Q 17.
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  • Business valuations supplementary questions

    Complete this section only if "Business Valuations" work is disclosed in Q 17.

  • 1. Do you underatke valuations or assessments of profitability of:

  • (a) Client Companies or Businesses?
  • (b) Other Companies or Businesses?
  • 18. Does the Insured subcontract any of their activities?*
  • (c) Do all subcontractors have Professional Indemnity Insurance?*
  • 19. Does the Insured provide advice on:(a) setting up of captives?*
  • (b) offshore investments?*
  • 20. Is the Insured or any partner, principal or director of the Insured connected or associated (financially or otherwise) with any other practice or business?*
  • 21. Does the Insured have a risk management and or quality control system in place?*
  • If Yes, please provide the following details:(a) Was the system developed by the Insured?*
  • (b) Was the system developed by an external party?*
  • 22. Does the Insured have any Professional Indemnity Insurance currently in force?*
  • Renewal Date*
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  • Retroactive Date*
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  • Section 2 - General details

  • 1. Has any insurer, in respect of the risks to which this proposal relates, ever: (a) declined a proposal, refused renewal or terminated an insurance?*
  • (b) required an increased premium or imposed special conditions?*
  • (c) declined an insurance claim by the Insured or reduced its liability to pay an insurance claim in full(other than by application of an Excess)?*

  • Section 3 - Claims and circumstances

  • 1. (a) Has any claim been made against the Insured or any principal, partner or director (either as a principal, partner or director of the Insured or of any previous business), consultant or employee in respect of the risks to which this proposal relates?*
  • (b) Has the Insured or any principal, partner, director, consultant or employee incurred any other loss or expense which might be within the terms of the Professional Indemnity cover?*
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  • 3. Is any principal, director, partner, consultant or employee, after enquiry, aware of any circumstances which might: (a) give rise to a claim against the Insured or his/her predecessors in business or any of the present or former partners, principals, directors, consultants or employees?*
  • (b) result in the Insured or his/her predecessors in business or any of the present or former partners, directors, consultants, employees or principals incurring any losses or expenses which might be within the terms of the Professional Indemnity cover?*
  • (c) otherwise affect the Insurer's consideration of this Insurance?*

  • It is agreed that if such facts, circumstances or situations exist, whether or not disclosed, any claim arising from them is excluded from this proposed insurance policy.

  • 4. Has the Insured suffered any loss through fraud or dishonesty of any principal, partner, director or employee over the past five (5) years?*

  • Declaration

  • I/We the undersigned duly authorised person(s) declare that:
    (i) I am/we are authorised by each of the Insured to sign this Proposal Form; and
    (ii) the above statements are correct, true and complete; and
    (iii) no information material to this Proposal Form has been withheld; and
    (iv) I/we have read the important facts which you have put before me/us and I/we understand the advice given in relation to the duty of disclosure; and
    (v) I/we have diligently made all necessary and detailed enquiries in order to comply with the duty of disclosure; and
    (vi) I/we understand that no insurance is in force until such time as the insurer has confirmed acceptance of the proposed insurance; and
    (vii) I/we undertake to inform the insurer of any material alteration to these facts occurring before completion of the contract of insurance; and
    (viii) I/we acknowledge that the insurer relies on the information and representations in this Proposal Form and otherwise made by me/us in relation to this insurance; and
    (ix) except where indicated to the contrary, I/we understand that any statement made in this Proposal Form will be treated by the insurer as a statement made by all persons to be insured; and
    (x) I/we have read  Privacy Statement, and consent to the use, disclosure and obtaining of person information about the Insured for the purposes shown in the Privacy Statement.

  • Date*
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