Recruitment Consultants
Advice Line
1300 464 989
1
2
3
4
5
6
Recruitment Consultants
Advice Line
1300 464 989
1
2
3
4
5
6
Business Details
Income Details
Total Annual Income
$
In respect of Total Annual Income, please provide a breakdown by State:
Total must be 100%:
NSW
ACT
QLD
VIC
TAS
SA
WA
NT
Overseas
Business Activity Analysis
No
Yes
Do you require cover in relation to onhired (temporary) employees/contractors?
Are you a small business eligible for exemption from paying NSW stamp duty on certain types of Insurance?
Yes
No
Type of cover:
Vicarious Liability Cover Only
Vicarious Liability Cover and Cover to the onhired (temporary) employee/contractors
Total must be 100%:
Total Fees % Split
Permanent Placements
On-Hired (Temp) Employees/Contractors
Clerical/Secretarial
%
%
Accountants
%
%
Architects
%
%
IT Consultants
%
%
HR Consultants
%
%
Bookkeepers
%
%
Management Consultants
%
%
Marketing Consultants
%
%
Blue Collar Workers
%
%
Medical Practitioners
%
%
Nurses/Healthcare Workers
%
%
Engineers
%
%
Other
%
%
Please provide further details
Promotional Code (if relevant)
