1
Step 1: General Information
Proposed Insured Name
Inception Date
date_range
Expiry Date
date_range
Situation Address
Suburb
Postcode
State
Occupation
Select Occupation
Accountant - Audit of Financial Institution
Accountant - Audit of Not For Profit
Accountant - Audit of Private Companies
Accountant - Audit of Public Companies
Accountant - Audit of Self Managed Super Funds
Accountant - Bankruptcy
Accountant - Business Valuation
Accountant - Company Directorship
Accountant - Insolvency
Accountant - Mergers and Acquisition
Accounts Preparation
Acoustic Engineer
Adoption Agency
Advertising Agent
Aeronautical Engineer
Aged Care Consulting
Agricultural Consulting
Agricultural Engineer
Agronomist
Air Cargo Consulting
Air Conditioning Engineer
Air Pollution Consulting
Anthropologist
Aquaculture Consulting
Arbitrator
Archaeologist
Architect
Archival Firms
Art Directors
Authors
Aviation Consulting
Barrister
Biologist
Biomedical Engineer
Boat Designer
Body Corporate Management Service
Bookbinder
Bookkeeper
Botanist
Building Draftsperson
Business Activity Statements
Business Coach
Business Planning Consulting
Business Project Manager
Business Training Course
Buyers Advocate
Career Advisory Service
Cartographer
Catering Consulting
Change Management Consulting
Civil Celebrant
Civil Engineer
Company Search Agent
Compliance Consulting
Conference Manager
Cooking Instructor
Copywriter
Court Reporter
Draftsperson
Ecology Advisor
Editor
Education Consulting
Electrical Engineer
Electrical Inspector
Electrician
Electronic Engineer
Employment Agent
Energy Consulting
Energy Engineer
Energy Rating
Entomology Consulting
Environmental Engineer
Fauna Consulting
Fire Engineer
Food Inspector
Forestry Consulting
Foundation Engineer
Funeral Director
Gemology
Geographer
Geological Engineer
Geo-Technical Engineer
Graphic Designer
Green Auditor
Harbour Engineer
Health and Safety Consulting
Heating Engineer
Historian
Home Sustainability Assessor
Horticultural Consulting
Hospital Consulting
Hotel Consultants
Human Resource Consulting
Hydraulic Engineer
Illustrator
Image Consulting
Import and Export Agent
Industrial Relations Consultants
Insurance Loss Adjusters
Interior Designers
Interpreters
Irrigation Design
Landscape Designer
Lapidary Consulting
Librarian
Literary Agent
Logistic Advisor
Management Consulting
Marine Engineer
Marketing Consulting
Market Research Consulting
Marriage Counsellor
Mechanical Engineer
Mediator
Metallurgical Engineer
Metallurgy Consulting
Meteorology Advisor
Methamphetamine Testing
Microbiologist
Migration Agent
Minerals Processing Engineer
Multimedia Consulting
Numismatics Consulting
Occupational Health and Safety Consulting
Organisational Structure and Staffing
Philatelic Consulting
Photographer
Pool Safety Consulting
Private Investigator
Process Server
Publicists
Public Records Search Firms
Public Relations Consulting
Quality Assurance Consulting
Registered Training Organisation - Classroom Based
Relocation Agent
Risk Management Consulting
Robotics Advisor
Safety Engineer
Secretarial Service
Sewerage Consulting
Shipping Consulting
Sociologist
Solar Energy Consulting
Statistician
Strategic Planning
Sustainability Auditor
Taxation Service
Technical Writer
Telecommunication Engineer
Textile Designer
Tourist Bureau and Guides
Town Planner
Training Consulting
Translator
Travel Agent
Viticulture Consulting
Water Broker
Water Conservation Consulting
Wedding Planner
Wind Energy Consulting
Wool Broking and Classification
Workflow Efficiency Consulting
Workplace Assessor
Zoologist
2
Step 2: Product Information
Requires a choice of Occupation and Postcode for the Insured
What percentage of the proposed Insured’s turnover is from the sale of products:
Please select all the treatments provided by the proposed Insured:
ESSENTIALS
Acid/Chemical Peels (up to a maximum strength of 40%)
Acupuncture
Alkaline Hair Removal
Alpha Hydroxy Acids
Anal Bleaching
Aromatherapy
Biomesosculpture
Bleaching
Body Wrapping
Caci Facial
Calendula Eye Baths
Ceya
Cosmetic Injecting (only when conducted by contractors that are self insured)
Counselling
Crystal Healing
Ear Piercing
ELOS Pitanga Hair Removal and Rejuvenation
Eyebrow Grafting/Extension
Eyebrow Shaping
Eyebrow Threading
Eyelash Extensions
Eyelash Lift
Eyelash Tinting
Facials
Hairdressers
High Frequency Facial
Hydrotherapy
Hyfrecator for Wart Removal
ION Detoxification Treatment
Kinesiology
Life Coaching
Light Heat Therapy (LED)
Lip and Facial Hair Bleaching
Make Up (including stage and movie)
Manicure
Massage
Microcurrent Treatment
Milia Extractions
MM Slim
Nail Extensions
Naturopath
Oxygen Therapy/Cold Atmosphere Plasma Treatment
Paraffin Wax Treatment
Pedicure
Reflexology
Reiki
Relabeling of Australian Sourced Products
Retail of Products
Sauna (including Infrared)
Semipermanent Mascara
Shellac Manicure
Shellac Pedicure
Spa Treatment
Spray Tan
Sugaring
Tesla Former
Tooth Jewels
Vibroslim
Waxing
Weight Loss Management
Whole Body Vibration Therapy
Clear
ESSENTIALS PLUS
Acid/Chemical Peels (up to a maximum strength of 60%)
Bipolar Fractional Radiofrequency Machine
Carboderm (Needleless Carboxy Therapy)
Carboxy CO2 Active Gel Mask
Cosmecanique
Cyroprobe Treatment (excluding diagnosis)
Depilatory Hair Removal
Dermaplaning
Dermatherapy
Diathermy
E2 Sublative Treatments
Electrical Epilations
Electrolysis
Electroporation Treatment
Electrotherapy
Epidermal Levelling
Galvanic Treatment
Hydrodermabrasion
Iontophoresis Treatments
Lamprobe Treatment
Lymphatic Drainage/Massage
Medilift
Microdermabrasion
MTS (Micro-Needle Therapy System) PEEL
Muscle Manipulation Therapy
Phototherapy
Plasma Skin Regeneration
Skin Remodelling System
Sonophoresis
Teeth Whitening
Clear
PREMIUM
Body Piercing
Brow Lamination
Carbon Facial (not Carbon Laser)
Collagen Induction Therapy
Cosmetic Tattoo/Micropigmentation
Cryolipolysis (inc Fat Freezing, CoolSculpting, HIFU)
Dermarolling
Electro Collagen Therapy
Fat Reduction Laser Therapy
Hyaluronic Pen
HydraFacial
Intense Pulse Light (Fitzpatrick Skin Types 1, 2, 3 and 4 Only)
Laser Treatments (Fitzpatrick Skin Types 1, 2, 3 and 4 Only)
Lipodissolve
Lipo Laser
Mesotherapy
Mesotix Skin Rejuvenation
Microblading
Microsclerotherapy
Non Laser Tattoo Removal (excluding Surgical Removal)
Para-Medical Cosmetic Tattooing
Radio Frequency Skin Treatments
Red Vein Treatment
Scalp Micropigmentation
Sclerotherapy
Semi-Permanent Micro Needling BB Cream
Skin Needling
Skin Tag Removal
Ultrasonic Cavitation
Vampire Facelift
VascuLyse Treatment
Clear
OTHER
Carbon Laser (CO2 Laser Resurfacing)
Carboxy Therapy
Cosmetic Injecting (when directly conducted by the insured)
Facial Threading
Fibroblast Plasma Therapy
Intense Pulse Light (Fitzpatrick Skin Types 5 and 6)
Intravenous Therapy
Laser and Radio Frequency (Thermiva) Treatments – Vagina
Laser Tattoo Removal
Laser Treatments (Fitzpatrick Skin Types 5 and 6)
Professional Training Course(s)
Clear
Please select all the treatments provided by the proposed Insured:
Cosmetic Injecting (when directly conducted by the insured)
Does the proposed Insured currently have a valid professional indemnity policy?
No
Yes
Allied Health (combined)
Does the proposed Insured currently have a valid malpractice/professional indemnity policy?
No
Yes
Property
Property Damage
Money
Theft
General Property
Glass?
No
Yes
JOURNEY ACCIDENT (Please check box if you want to include this cover in your Quick Quote)
Journey Cover
Journey - Weekly Accident
Select Preferred Cover
AUD $500
AUD $1,000
AUD $1,500
AUD $2,000
Journey - Capital Benefits
Select Preferred Cover
AUD $100,000
AUD $250,000
PERSONAL ACCIDENT & SICKNESS (Please check box if you want to include this cover in your Quick Quote)
Personal Accident & Sickness
Enter the details of insured to be covered under this Personal, Accident & Sickness Policy
Insured First & Last Name
Insured Date of Birth
date_range
Enter the the amounts of Personal, Accident & Sickness Policy you require.
Weekly Accident
Select Preferred Cover
AUD $500
AUD $1,000
AUD $1,500
AUD $2,000
Weekly Sickness
Select Preferred Cover
Not Required
AUD $500
AUD $1,000
AUD $1,500
AUD $2,000
Capital Benefits
Select Preferred Cover
AUD $100,000
AUD $250,000
3
Step 3: Business Information
Estimated Annual Revenue
Number of Employees including Directors
Provide a percentage split of revenue by state or territory:
VIC
NSW
ACT
SA
NT
WA
TAS
QLD
Foreign/Overseas
Is the proposed Insured a Capital Gains Tax small business entity (within the meaning of section 152-10 (1AA) of the Income Tax Assessment Act 1997 of the Commonwealth) and a small business individual / partnership / company and/or trust, which is carrying on a business that has an aggregated turnover of less than $2 million?
Yes
No
N/A
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