Welcome to Nsure short 6 Part Disclosure form. This will us ensure that you meet your Disclosure obligations which form your Insurance Contract.It is important to note a person's duty of disclosure applies whenever they:- first arrange;- renew;- extend;- vary or- reinstatea policy of insurance.
In particular, whenever a person renews their insurance policy, they are entering into a new contract of insurance. As such, they are required to comply with their duty of disclosure each time they renew their insurance policy.
The consequences of the applicant not fulfilling the duty of disclosureIf the applicant fails to fulfil this duty, the insurer may:- refuse to pay a claim and/or- cancel the policy.
Given some claims can be of significant monetary value (e.g. substantial fire damage to a home), it is important for an applicant to comply with their duty of disclosure.
Have you or any partner(s), shareholder(s) or director(s) of the business:
Your DeclarationYou agree that you have read and understood this notice by doing any of the following:
(a) Signing and returning a copy of this form; or(b) Providing the information requested and returning the form to us; or(c) Providing us with instructions to place the policy.Privacy Act 1988 (Cth) or any successor legislation.