Enquire About Public & Products Liability Contact Name * First Name Last Name Business/Entity Name ABN Phone (###) ### #### Email What type of business are you in? What is the nature of your business activities? Outline the products or services you offer. What is the estimated annual revenue of your business? What is your estimated total payroll for the upcoming year? How many employees do you have? Do you engage sub-contractors or labour hire employees? If so, please provide estimated annual payments to them. Have you had any public liability claims in the last 5 years? Yes No What level of cover do you require? e.g. $5M, $10M or $20M Do you currently hold insurance? If so, what is the expiry date? Any additional comments or information that you would like to provide? Thank you!