Vehicle Insurance Quote

Tell us about you

Name *

First

Last

Date of Birth *

Address *

Contact Number *

Email *

Your vehicle details

Vehicle Use *

Private
Business

Could you tell us the business type *

Year *

Make *

Model *

CC Rating

Registration No. *

Value ($) *

Where is the vehicle usually parked at home *

Please tell us where your vehicle is usually parked *

Alarm and/or immobiliser *

Yes
No

Any existing damage or defects *

Yes
No

Please describe any existing damage or defects *

Does your vehicle have non-factory fitted accessories valued over $1000 or modified in any way *

Yes
No

Please tell us more about your vehicle's accessories or modifications *

Is the vehicle on finance or lease *

Yes
No

What's the finance or lease company *

Please tell us the finance or lease company *

Who will be the main driver *

What type of driver licence is held *

How long has the driver licence been held *

Are there any additional drivers to be included *

Yes
No

Do you have existing insurance for this vehicle *

Yes
No

Could you tell us the insurance company name *

Name of your insurance provider *

What date does this policy expire or renew

Add Vehicle

Add Vehicle

2.Vehicle Use *

Private
Business

2.Could you tell us the business type *

2.Year *

2.Make *

2.Model *

2.CC Rating

2.Registration No. *

2.Value ($) *

2.Where is the vehicle usually parked at home *

2.Please tell us where your vehicle is usually parked *

2.Alarm and/or immobiliser *

Yes
No

2.Any existing damage or defects *

Yes
No

2.Please describe any existing damage or defects *

2.Does your vehicle have non-factory fitted accessories valued over $1000 or modified in any way *

Yes
No

2.Please tell us more about your vehicle's accessories or modifications *

2.Is the vehicle on finance or lease *

Yes
No

2.What's the finance or lease company *

2.Please tell us the finance or lease company *

2.Same main driver as the vehicle above (Vehicle 1) *

Yes
No

2.Who will be the main driver *

2.What type of driver licence is held *

2.How long has the driver licence been held *

2.Are there any additional drivers to be included *

Yes
No

2.Do you have existing insurance for this vehicle *

Yes
No

2.Could you tell us the insurance company name *

2.Name of your insurance provider *

2.What date does this policy expire or renew

Add Another Vehicle

Add Vehicle

3.Vehicle Use *

Private
Business

3.Could you tell us the business type *

3.Year *

3.Make *

3.Model *

3.CC Rating

3.Registration No. *

3.Value ($) *

3.Where is the vehicle usually parked at home *

3.Please tell us where your vehicle is usually parked *

3.Alarm and/or immobiliser *

Yes
No

3.Any existing damage or defects *

Yes
No

3.Please describe any existing damage or defects *

3.Does your vehicle have non-factory fitted accessories valued over $1000 or modified in any way *

Yes
No

3.Please tell us more about your vehicle's accessories or modifications *

3.Is the vehicle on finance or lease *

Yes
No

3.What's the finance or lease company *

3.Please tell us the finance or lease company *

3.Same main driver as the vehicle above (Vehicle 2) *

Yes
No

3.Who will be the main driver *

3.What type of driver licence is held *

3.How long has the driver licence been held *

3.Are there any additional drivers to be included *

Yes
No

3.Do you have existing insurance for this vehicle *

Yes
No

3.Could you tell us the insurance company name *

3.Name of your insurance provider *

3.What date does this policy expire or renew

Declaration

Have you had any motor claims in the past 2 years *

Yes
No

Any other relevant information that may affect the insurance cover

To allow us to explore insurance options for you, please tick the boxes below to confirm that you've read and understand our Terms & Conditions and Privacy Statement.

I hereby acknowledge that I have read and accept the: *

Terms & Conditions

I hereby acknowledge that I have read and accept the: *

Privacy Statement

General Insurance

Join our newsletter