Other Kinds of Insurance

At Greater National we broker numerous different kinds of insurance, as you can see below. If you would like a quote on any of the following kinds of insurance, please proceed to the bottom of the form, and fill in as much detail as you can on the quote you are seeking.


Directors & Officers Liability Insurance
Legal Expenses
Product Liability
Professional Indemnity
Public Liability
Umbrella Liability


Building - Accidental Damage/Defined Events
Contents - Accidental Damage/Defined Events
Valuables - Australia Wide/World Wide
Home Units/Strata Plan
Holiday Home


Accounts Receivable Insurance
Boiler and Pressure Vessel Explosion
Business Package
Business Interruption - Consequential Loss
Computer Insurance
Construction Risks
Fire & Extraneous Perils
General Property
Goods in Cold Storage
Industrial Special Risks
Machinery Breakdown
Plate Glass




Pleasure Craft
Marine Cargo - Imports/Exports
Marine Transit - Australia Wide


Tax Audit
Credit (Bad Debts) Insurance
Disability/Personal Accident
Fidelity Guarantee
Life/Trauma/Salary Continuance
Travel - Personal/Corporate

1. Please give details of the kind of insurance you are seeking including dollar values:

Duty of Disclosure:
Are you aware of any matters not disclosed above that is relevant to the underwriter's consideration of this insurance?
Yes No
If so, please provide details:
I/We hereby declare that:
My/Our attention has been drawn to the Important Notices accompanying this form and further I/we have read these notices carefully and acknowledge my/our understanding of their content. The above statements are true, and I/we have not suppressed or mis-stated any facts and should any information given by me/us alter between the date of this form and the inception date of the insurance to which this relates I/we shall give immediate notice thereof. I/We authorise GNG and the Insurer to collect or disclose any personal information about another individual (for example, an employee, or client), I/we declare that the individual has been or will be made aware of that fact and the Privacy Policy. I/We also confirm that I/we am/are authorised to act for and on behalf of all persons who may be entitled to indemnity under any policy which may be issued pursuant to this form and I/we complete this form on their behalf.
Any other comments, requests or relevant information you need to add:
Contacting you about your quote:
In order to select the most appropriate cover for you, it may be important to discuss quote details in person. Please leave a contact phone number and best time to call to facilitate this.
Your full name:
Company/Business/Name of Applicant to be Insured:
Your phone number (please include area code):
Your mobile phone number:
Best time(s) to call:
Please send my quote by (select at least one):
email phone fax mail
Your email address:
Your website address:
Your fax number:
Your postal address: