Tailored Form

    Commercial Legal Expense Insurance

    Business Activities/Occupation

    Please Note - We cannot insure Law Firms/Lawyers

    Business Description

    Do the occupation(s) and business description accurately describe all aspects of the risk?

    Employee by State / Region

    ACT

    NSW

    NT

    QLD

    SA

    TAS

    VIC

    WA

    Total

    Commercial Legal Expenses Limit

    Gross Turnover (AU $) (Estimates of next 12 month)

    Do you require Cover for Construction Contract Disputes

    Construction Contract Disputes Limit

    Any claims in the last 5 years under a commercial legal expense policy?

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