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Greenslip Insurance - NSW Only

These are compulsory in NSW and cover the Bodily Injury of a person that has been injured by your vehicle. Our system will automatically upload to the RTA the renewal information, which means less paper for you to take when renewing your registration.

In order for City Rural Insurance Brokers to provide you with an Obligation Free Quote, please complete the following.

Fields designated in RED are required to be completed
PERSONAL INFORMATION
Contact Name
Street address
Suburb/Town
State
Postcode
Email Address
Phone
Fax
Mobile Phone
Preferred method of contact
Email   Phone   Fax
Occupation
GENERAL DETAILS
Insured Name:
Will you claim the GST for this Greenslip? Yes No
Vehicle Class 
Year manufactured
Make and Model
Part of fleet (10 or more vehicles) Yes No
Postcode garaged
Trucks GVM
 Kg
Is there comprehensive insurance Yes No
Current No Claim Bonus %
Policy holder details
Owner date of birth
Youngest driver date of birth
Policy details
Registration start date
Registration duration 
Registration Expiry Date
I have read the Duty of Disclosure (view)
Duty of Disclosure

In order to make an informed assessment of the risk and calculate the appropriate premium, your insurer needs information about the risk you are asking it to insure.

For this reason, before you enter into a contract of insurance, you have a duty under the Insurance Contracts Act 1984 to disclose to your insurer every matter that you know, or could reasonably be expected to know, is relevant to the insurer’s decision whether to accept the risk and, if so, on what terms. The duty also applies when you renew, extend, vary or reinstate a contract of insurance.

You do not have to disclose anything that:

  • Reduces the risk to be undertaken by the insurer;
  • Is common knowledge;
  • Your insurer knows, or in the ordinary course of its business, ought to know; or
  • If the insurer has waived your obligation to disclose.
If you do not comply with your duty of disclosure, your insurer may be entitled to reduce its liability in respect of a claim or may cancel your contract of insurance. If the non-disclosure was fraudulent, the insurer may be able to avoid (or cancel) the contract of insurance from its beginning. This would have the effect that you were never insured.

One important matter to be disclosed is the history of losses suffered by the person seeking insurance or any closely associated person or entity. As you are responsible for checking that you have made complete disclosure, we suggest that you keep an up to date record of all such losses and claims.

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Member of National Insurance Brokers Association and Steadfast Group Limited

Australian Financial Services Licence No 237491 – General Insurance Broker

 

 

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