Rotating Images

To discover a better kind of cover with NTI's new Transport Package, click here.

Join NTI Careers

If you're interested in a career, a specific vacancy or discovering the benefits offered to NTI people, please click here.

Liability Quote Form

Obtain a Quote

* Are you a Licencee/Broker?

View NTI Privacy Statement:

* Do you have an account with NTI?

NTI PRIVACY STATEMENT

Privacy Statement

The Privacy Act 1998 (as amended) requires us to inform you about our policy on the management of your personal and sensitive information.

Purpose of collection
Any personal information you provide to us is used by us to evaluate and arrange your insurance cover. We also use it to administer and provide insurance services and manage you and your rights and obligations in relation to the insurance services that we provide to you, including managing, processing and investigating claims.

The personal information collected can be used or disclosed by us for a secondary purpose related to the provision of insurance services, but only if you would reasonably expect us to use or disclose the information for this secondary purpose. However, for sensitive information, the secondary purpose must be directly related to the provision of insurance services to you.

Disclosure
We may disclose your personal information, when necessary, and in connection with the provision of insurance services to you, to your insurance broker or our agent, Government bodies, loss assessors, claim investigators, reinsurers, other insurance companies, hospitals, medical and health professionals, legal and other professional advisers.

Consequences if information is not provided
If you do not provide us with the information we need we will be unable to consider your application for insurance cover, administer your policy or manage any claim under your policy.

Access
You can request access to your personal information by contacting us at our address shown on our web site.

View NTI Privacy Policy

CONTACT INFORMATION

* Contact Name

* Your Company Name

* Phone Number

* Address:

Fax Number

Email Address

Intermediary Details

NTI Intermediary Number:

	* Intermediary Name:
	* Intermediary Suburb/Town:
	* Intermediary State:

* Contact Name:

	* Phone Number:
	Fax Number:

* Email Address:
[Enter the email address to which the quote will be sent]

General Information

* Customer Name:
* Trading As:
* Select the current insurer:
* Date insurance is required from:	/ /
* Base of Operations (Suburb):
* Postcode:
* Number of years operating a transport business:
* Are there any dangerous/hazardous goods carried?

* Does the proposer carry infectious or radioactive substances?
* Does the proposer contract to remove/carry asbestos product of waste?

Liability Cover

* Do you require a quote for Liability Insurance?

* Liability Limit:

* Estimated Annual Turnover:

* Main Occupation:

Cartage Contractor
A cartage contractor operates truck and freight handling equipment, handles and moves freight (may specialise in hazardous, pre-mix, gravel etc..), visits third party locations, can own or lease a depot/terminal, can have a workshop for own vehicles, can store own fuel but does not include manufacturing or sales activities.

Earthmoving Contractor
An earthmoving contractor operates plant and machinery, (may specialise in certain tasks such as land / site clearing, excavation less than 10m, trenching, basic retaining walls), visits third party locations, can own or lease a depot/terminal, can have a workshop for own vehicles, can store own fuel. It does not include piling, drilling, construction, underground mining or works on/adjacent to water, airports, railways, wharves, harbours or bridges, or other additional activities.

NTI is unable to offer Liability insurance for certain occupations. We will notify you if we are unable to offer you a policy.

* Are you involved in any Demolition, Railworks, Quarry, Roadworks (beyond site preparation) or require vibration cover?
If yes, please enter full details and % of total turnover relating to each activity

* Do you undertake any activities that are additional to the main occupation?
If yes, please enter full details and % of total turnover relating to each activity. If you are involved in any warehousing or storage and generate income from it please enter it here
* How many employed and subcontracted truck drivers and/or plant operators will you employ?
* How many other subontractors and labour hire staff do you hire (excluding truck drivers)?
* Do you or will you occupy any additional premises for your business activities?
If yes, please enter the street number, name and suburb
* Do you or will you contract to a principal contractor?
If yes, please enter the name/s of the declared principal/interested party
* Do you or will you manufacture products or act as an agent to sell/promote products of others or import or export products?
If yes, please enter details
* Do you agree to assume the liability of others or provide waivers or warranties under any contract?
If yes, please enter details

Claims and Insurance History

* In the past 5 years have you or any of your subcontractors had any claims, incidents or events for any of the following insurance covers?
* Liability:
Please enter details (including date, description and approx cost)

* In the past 5 years have you or any of your drivers or subcontractors:
* Had any insurance declined, cancelled or refused or special conditions/terms imposed or claim refused?
* Had any criminal convictions?
Is there any other information you wish to provide?

Rotating Images

NTI Transport Package

Join NTI Careers

Liability Quote Form