Jotform

Transport Insurance Fact Find

Your Disclosure Obligations

It is important that you provide us with complete and accurate information about the risks to be insured, otherwise the advice we give you may not be appropriate for your needs. We rely on you to provide complete and accurate information.

Before you enter into an insurance contract with an insurer, you have a duty under the Insurance Contracts Act 1984 (Cth) to disclose information to the insurer. This Duty of Disclosure applies until the insurer either agrees to insure you or renew your insurance. The Duty of Disclosure also applies before you extend, vary, or reinstate your insurance.

If you are applying for or renewing insurance in relation to consumer insurance products such as, your motor vehicle, home building and/or contents, residential strata, travel, personal accident or sickness and/or consumer credit products, you must answer the specific questions asked by the insurer truthfully and accurately. In answering those questions, you must tell the insurer all information that’s known to you and that a reasonable person would be expected to provide in answer to the questions. Not doing so may be considered by the insurer to be a breach of your ‘duty to take reasonable care not to make a misrepresentation’ and may cause issues in relation to the validity of your insurance contract and/or issues in the event of you lodging a claim.

At renewal, the insurer may either ask you to advise any changes to information you have previously disclosed; or may give you a copy of the information you previously disclosed and ask you to advise them if there have been any changes. If you do not tell the insurer about a change, you will be taken to have told the insurer there is no change.

If you are applying for, or renewing any other types of insurance, you must tell the insurer all information that is known to you that a reasonable person in the circumstances could be expected to know, or that is relevant to the insurer’s decision to insure you and on what terms. You do not need to tell the insurer anything:

  • that reduces the risk it insures you for;
  • is common knowledge;
  • that the insurer knows or should know; or
  • which the insurer waived you duty to tell it about.· 

Non-disclosure

If you fail to comply with your Duty of Disclosure, the insurer may cancel your insurance contract, or reduce the amount it will pay you if you make a claim, or both. If your failure to comply with the Duty of Disclosure is fraudulent, the insurer may refuse to pay a claim and treat the insurance contract as if it never existed.

If you are in doubt about whether or not a particular matter should be disclosed, please contact your Account Executive.

Where you represent another insured party you must make sure you explain the Duty of Disclosure to them when we arrange any insurance cover. Alternatively, you may ask any person you represent to contact us and we will explain their Duty of Disclosure to them directly.

Should you wish to discuss any of the above information, please do not hesitate to contact us.

    Company Details *













    Type of Goods Carried *

     

    Percentage Carried

    General Goods

    Refrigerated

    Hanging Meat

    Livestock

    Vehicles

    Containers

    Dangerous Goods

    Tow Operator

    Other

    At least one field required.

    Vehicle List *










    Trailer in Control *



    Driver Details *





    Duty of Disclosure *

    Question

    Response

    Has the insured, or any director or officers been declared bankrupt or insolvent in last 10 years?

    Has the insured, or any director, officers or any of the drivers been convicted of a criminal offence in last 10 years?

    Has the insured, or any director or officers had an insurance policy cancelled, declined or terms imposed?

    Had any of the driver/owners ever been convicted for driving under the influence of alcohol or drugs?

    Have any of the driver/owners had their license suspended or cancelled in last 5 years?

    Have any of the driver/owners had any motor claims or accidents in last 5 years?

    Have any of the driver/owners been convicted of any traffic offences in last 5 years?

    Do you or any of your drivers suffer from any physical or mental defects or health conditions including diabetes, high blood pressure, heart or renal disease or mental condition that requires medication and/or monitoring?

    Are any of the vehicles leased or hired out on loan to other parties?

    Are any of the vehicles in unsafe, non-roadworthy or damaged conditions?

    Do you agree or assume liability of other?

    Any vehicles working in boundaries of Airport?

    Every row is required.


    Cover for Third party goods you are legally responsible for?

    Downtime Cover


    Protects you against loss of income while your vehicle is not operational during the period of insurance as a result of a claim that has been accepted under the policy.


    Please note that submitting this form does not automatically provide you with coverage.

    Once the form is successfully completed and any required follow-up information is provided, we will offer you a selection of quotations.

    Coverage will only commence after you:

    • Accept a quotation,

    • Receive confirmation from us, and

    • Complete the payment process.