Professional Indemnity cover enquiry for Migration Agents

Please complete the form below and we will be quick to reply with your quote.

Company Name(s) / Insured Name(s)

ABN

Name

First

Last

Telephone Number

Trading Address of Business

Does the practice operate from an office outside of Australia?

Yes No

Please provide details about operations outside australia

Please advise name of registered agent/s requiring cover under this policy and their registration number/s

This proposed policy will cover you for Registered Migration Agent services. Do you require cover for any other activities/services? If Yes, please describe below.

Yes No

Please list additional activities you require cover for

Are you or the practice a member of a professional industry association?

Yes No

Please advise association memberships

Please advise total practice income last 12 months (if you have been practicing for less than 12 months, please provide a 12 month forecast)

Has any principal, partner, director, staff member or contractor ever been subject to a MARA enquiry?

Yes No

Please provide details of enquiry.

Have any claim/s been made against the practice, its predecessors or against any of its past or present principals, partners, directors, employees or contractors?

Yes No

Please provide details of claim/s.

Are you or any principals, partners or directors after enquiry of all staff, managers and contractors, aware of any facts or circumstances which may give rise to a claim or claims against the business?

Yes No

Please provide details.

Has the practice, or any principal, partner or director of the practice, ever been refused this type of insurance, or had similar insurance cancelled, or had a renewal application declined, or had special terms imposed?

Yes No

Please provide details of the refusal.

Amount of cover required

Would you like a quote for public liability insurance?

Yes No

Amount of public liability insurance required

When would you like the proposed cover to commence (please note that cover cannot be backdated)

Email address

How can we help you?

Ed Henry

Director - Sage Australia Pty Ltd

Professional Indemnity cover enquiry for Migration Agents

How can we help you?

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