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Professional Indemnity Insurance for Real Estate Agents

Real Estate Proposal Form

 

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 'submit' I acknowledging that I have read, understood and agreed to the Notice to the Proposed Insured.

I declare that I have made all necessary inquiries into the accuracy of the responses given in this proposal and confirm that the statements and particulars given in this proposal are true and complete and that no material/facts have been omitted, misstated or suppressed.  I agree that should any of the information given by me alter between the date of this proposal and the inception date of the insurance to which this proposal relates, I will give immediate notice thereof to the insurer.

I acknowledge receipt of the Important Notice and Disclosure information contained in this proposal and that I have read and understood the content of them.

I confirm that I am authorised by the proposing Agency (and its partners/principals/directors if applicable) to complete this proposal form and to accept the quotation terms for this insurance on behalf of the Agency (and its partners/principals/directors if applicable).

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

 

1. YOUR DETAILS






CLAIMS INFORMATION



RISK MANAGEMENT PROCEDURES




DETAILS OF INSURANCE





DECLARATION & 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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