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374 Lygon Street, Brunswick East, VIC 3057

+61-3-8538-2699
admin@yblgroup.com.au

Accountants
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Quote your business Insurance

Terms & Conditions - Step 1 of 6

Before getting started

• Confirm you have seen our Privacy Policy and agree that

• Please read and agree Your Duty of Disclosure

• In order to quote correctly, please answer all questions in full

Insured Details

Insured Name *

Trading Name

Insured Situation *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Business Activities *

Current Premium Expiry Date//

Contact Name *

First

Last

Contact number *

Email *

Confirm Email

General Information

Type of Building *

Single Floor Building
Grand Floor of Multi Storey Building
2nd Level or Higher
Shopping Centre
Others

Type of Walls *

Brick
Concrete
Wood
Others

Type of Floor *

Tiles
Concrete
Wood
Others

Type of Roof *

Tiles
Concrete
Others

(copy)

Fire Protection *

Fire Sprinkler
Fire Extinguishers
Fire Hose
Fire Hydrants
Smoke Detectors
None

Security *

Deadlocks
Swipe Cards
Local Alarm
Monitored Alarm
Security Guards
None

Interest Party

Property Damage cover

Building

Contents *

Stock *

Removal of Debris

Theft

Contents

Stock

Combined Money

Glass *

Internal
External
Specified Glass
non

*Replacement value

Public Liability

Sum Insured of Public Liability *

Annual Turnover *

Employees *

Part times & Casuals *

Contractors & Sub-contractors *

Machinery Breakdown

Blanket Machinery

Specified Machinery

If yes, Machinery information

Description of your machinery type, units and sum insured per unit. eg. Computer x2, sum insured (per unit) $1000...

Electronic Breakdown

Type of Cover

Accidental Damage
Breakdown
Both

Cost of Restoring Data

Equipment information

Description of your equipment type, units and sum insured per unit. eg. Computer x2, sum insured (per unit) $1000...

General Property

Cover Type

Accidental loss or damage
Fire, theft, Collision and other Perils

Unspecified Items

Specified Items

If Yes, item information

Description of your item type, units and sum insured per unit. eg. Computer x2, sum insured (per unit) $1000...

Claims History

Has the insured had any related claims in the last 5 years? *

If yes, please provide details of your claims, eg. No. of claims, total amount, type of claims

Remarks

Contact Us

T: +61 3 853826 99 / 8538 2688

F: +61 3 8538 2600

E: admin@yblgroup.com.au

Address

374 Lygon Street

Brunswick East, VIC 3057, Australia

Opening hours

Mon – Fri 9:00 AM – 5:00 PM

Privacy Policy

Liability limited by a scheme approved under Professional Standards Legislation

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Quote your business Insurance

Before getting started

Insured Details

General Information

Property Damage cover

Theft

Public Liability

Machinery Breakdown

Electronic Breakdown

General Property

Claims History

Contact Us

Address

Opening hours