Skip to primary navigation
Skip to content
Skip to footer

(02) 8042 8200

Lion Underwriting prides itself on providing brokers access to the broadest range of policies, at competitive premiums whilst maintaining the highest level of service.

Who We Are
Products & Services
Documents
Online Proposals
- Close
- Claims Form
- Public Liability Insurance
News and Updates
Contact
- Close
- Download App
- Subscribe

PUBLIC LIABILITY INSURANCE

Broker Details
Tick this box if you are an insurance broker -
- yes I am an insurance broker
Name
First Name Surname
Full name of the insured
Branch / Location
Email Address
Mobile Number
Insured's Details
Full name of insured
Website Address
Situation
Inception/Expiry Date
Date Format: MM slash DD slash YYYY
Limit of Indemnity
- $5,000,000
- $10,000,000
- $20,000,000
Care, Custody & Control Sublimit
- $50,000
- $100,000
- $250,000
Excess
- $1,000
- $2,500
- $5,000
- $10,000
Number of years in business
Number of years experience
Estimated annual turnover
Estimated annual payroll
Business Activities/Description
Show percentage of work performed in each state
NSW
Please enter a number from 0 to 100.
VIC
Please enter a number from 0 to 100.
QLD
Please enter a number from 0 to 100.
SA
Please enter a number from 0 to 100.
ACT
Please enter a number from 0 to 100.
TAS
Please enter a number from 0 to 100.
WA
Please enter a number from 0 to 100.
NT
Please enter a number from 0 to 100.
(Validation only)
Total Percentage
(must be 100%)
Do you use sub-contractors or labour hire personnel?
- Yes
- No
Estimated annual payments
If yes, do they have their own liability insurance?
- Yes
- No
Estimated annual payments
Does the Insured enter into any hold harmless/contractual obligations
- Yes
- No
Claims details - summary last 5 years
Ever been declined insurance?
- Yes
- No
Comments
QUOTATION PURPOSES ONLY and could be subject to a satisfactorily completed Proposal Form.
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Footer

Lion Underwriting Pty Ltd

Level 40, 161 Castlereagh Street,
Sydney, NSW,
Australia 2000

Unit 34, 17 Cairns Street,
Loganholme
QLD 4129

ABN 33 604 597 467
AFSL 491793

Lion Underwriting prides itself on providing brokers access to the broadest range of policies, at competitive premiums whilst maintaining the highest level of service.

We have access to APRA approved Insurers, both within the local market, Singapore and London.

Download the Lion Underwriting app for fast and up to date access to our:

Product Information
Wordings, proposals and info sheet
Underwriter directory
News and updates
Contact us and call back requests

We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with it.Ok Privacy policy

PUBLIC LIABILITY INSURANCE

Broker Details

Insured's Details