Professional Indemnity Enquiry Please complete the form below and we will be quick to reply with your quote. Contact DetailsProposed Insured (i.e Company Name, Sole Trader, etc):*ABNName First Last PhoneEmail Business address Address line 1 Address line 2 Town/suburb Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia State Postcode Website Business InformationBusiness / ProfessionServices Provided and % of incomeServicePercentage Business Turnover last 12 monthsIf you are a new business, please provide forecast turnover for the next 12 monthsDo you provide services overseasYesNoPlease provide details of the services you provide overseasNumbers of Directors / PartnersNumber of EmployeesNumber of Contractors / ConsultantsProfessional MembershipsHave you had any previous / current professional indemnity claimsYesNoPlease provide details of claimsInsuranceRequired Indemnity Limit*Preferred Excess*Proposed policy start date* Date Format: DD slash MM slash YYYY Would you like to disclose anything else that is particular to your business risk?Other Insurance Requirements: (i.e Public Liability, Management Liability, Property, Cyber Crime, etc)Do you have any particular questions that you would like to ask? Migration Agent TRANZnet Member Cover Enquiry BAS Agents and Bookkeepers Engineers Enquiry Australian Counselling Association Professional Indemnity Enquiry Motor Vehicle Insurance IT Liability Insurance How can we help you? Contact us at Focus Insurance office nearest to you or submit a business inquiry online. Contact Us Hi David, I have to congratulate you on making this such an awesomely easy process. This is the way cloud technology should be used, a win-win for both parties. Excellent! Love it! Ed Henry Director - Sage Australia Pty Ltd