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Professional Indemnity Insurance for members of the Real Estate Institute of Queensland (REIQ)

Real Estate Proposal Form - REIQ

This is a fully online application form so you will need to include an email address and telephone number. You will also need to have read, understood and agree to the declarations and notice to the proposed insured before submitting your acceptance.

By clicking the ‘Submit’ button you are acknowledging that you have read, understood and agreed to the Notice to the Proposed Insured. You are also acknowledging that the information contained in this proposal form and attached addendums is true and correct and that you have not suppressed nor mis-stated any facts, and that you are authorised by each of the applicants to complete this proposal.


Please note that this is a fully online application process, which requires that you provide an email address. By pressing ‘submit’ you consent to receiving documentation relating to this quote via your nominated email address.


This email will also include a policy wording you will need to read this carefully and if you decide to proceed with the cover understand that the insurance cover will be subject to terms and conditions as set out in the policy wording.


Please note: Aon will be arranging your insurance on behalf of the underwriter who is QBE.

CLIENT INFORMATION


POSTAL ADDRESS
BUSINESS ADDRESS
EMPLOYEES
NB: 2 Part Time employees working 20 hours each per week is the equivalent of 1 Full Time employee working 40 hours a week.:

TURNOVER (GROSS FEES)
*Gross Fee income means all income, fees and commission BEFORE split with Contractors or Salespeople or deduction of expenses. If you are a new business please provide an estimated income for this financial year.:




BUSINESS ACTIVITIES
Please detail the approximate percentage of your fee income derived from the following fields of work over the next 12 months or provide an estimate if you are starting a new business:
If you provide the services below, please detail the approximate percentage of your fee income derived from the following fields of work over the last 12 months or provide an estimate if you are starting a new business:
PROPERTY MANAGEMENT / STRATA TITLE MANAGEMENT SERVICES



PREVIOUS BUSINESS OF DIRECTORS, PARTNERS, PRINCIPALS

CLAIMS QUESTIONS
Are any of the Partners, Principals or Directors, after enquiry,:







CYBER LIABILITY


DECLARATION AND AGREEMENT
PRIVACY
  1. Aon is committed to protecting your personal information in accordance with the Australian Privacy Principles under the Privacy Act 1988 (Cth). We collect, use and disclose personal information to offer, promote, provide, manage and administer the many financial services and products we and our group of companies are involved in as set out in the Aon Privacy Notice.

  2. If you are disclosing personal or sensitive information about any other person to Aon, you confirm that you have obtained the consent of that person to disclose to Aon their personal or sensitive information and you have made them aware that Aon will or may disclose their information to third parties that are reasonably necessary to assist in the provision of the relevant services or products. If you have not obtained consent from this other person to disclose their personal or sensitive information to Aon, you will inform us before providing the relevant information to us.
By submitting this form, you acknowledge that you have read the Aon Privacy Notice and agree that we can handle any personal information you have provided to us in the manner set out above.:

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