Quick Quote - Market Stall Holders and Organsiers
Public Liability Insurance

For an indicative quote, please complete and submit the form below.

For a more accurate quotation, please download, complete and return the Proposal Form.

 

Broker Details

 
     
Tick this box if you are an insurance broker   yes I am an insurance broker
Your Name
 
Broker Name
 
Branch / Location
 
Your Email
 
Your Phone
 
 

Insured's Details

 
     
Full Name of Insured
 
Situation
(Address, State and Postcode)
 
   
Inception Date    
     
Limit Required
 
$5,000,000
$10,000,000
$20,000,000
 
Is the Insured a Market Stall?   yes no
     
If yes, please advise the number of stalls  
     
Is the Insured a Market Organiser?   yes no
     
Is cover required for a single market or annually?  
     
Please advise details of cover requirements  
     
Number of Years in Business
 
Number of Years Experience
 
Estimated Annual Turnover
 
     
Occupation Details
(please provide a full description of your market activities/items sold)
 
 
Show percentage of work
performed in each state
  NSW %   ACT %
  VIC %   TAS %
  QLD %   WA %
  SA %   NT %
     
     
Please complete if you are a Market Organiser
     
Estimated number of markets
 
     
Estimated number of stalls
 
     
Estimated attendance
 
     
Do you ensure all Stall Holders carry their own insurance?
 
yes no
     
Is cover required under this policy for the Stall Holders?
 
yes no
     
     
Estimated income
 
     
Claims details - summary last 10 years
 
 
Ever been declined insurance?
 
yes no
Comments
 
 
 
PLEASE NOTE
This is for the use of NON BINDING INDICATIVE QUOTATION PURPOSES ONLY and is subject to a satisfactorily completed Proposal Form Prior to Binding
 
 


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