Skip to content
ABN: 12 162 702 025 | AFSL: 444494

Farm Quote

Your duty of disclosure

Before you enter an insurance contract, you have a duty of disclosure under the Insurance Contracts Act 1984. If we ask you questions that are relevant to our decision whether to insure you and on what terms, you must tell us anything that you know and that a reasonable person in the circumstances would include in answering the questions. You have this duty until we agree to insure you.

If you do not tell us something

If you do not tell us anything you are required to tell us, we may cancel your contract or reduce the amount we will pay you if you make a claim, or both. If your failure to tell us is fraudulent, we may refuse to pay a claim and treat the contract as if it never existed.

By proceeding you confirm you have read and understood this duty

    Who This Enquiry Is For

    For us to provide the best response to your inquiry please complete the following*

    RURAL QUESTIONNAIRE

    Contact Name*

    Email

    Phone

    Current Insurer*

    Insured Name (Include all Entities and their Interest)*

    Inception Date*

    Expiry Date*

    Full Business Description (including all activities)*

    Farm Size and Turnover

    Total hectares / acres

    Annual turnover: past 12 months

    Farm Situation (s)

    Localities List:


    Farm Name

    Number/Lot

    Street/Road Name

    State

    Postcode

    Size (hectares)

    CLAIMS & HISTORY (Last 5 Years)

    Claims List:


    Date of claim

    Type of loss or Damage (Eg. Fire, Water Damage etc)

    Amount ($)



    LOCATION

    Locations List:

    Farm Building Description (Eg machine shed, hay shed, etc)

    Construction/Details

    Year Built

    Sum Insured ($)

    Fencing Sum Insured ($)

    Hay or Grain Sum Insured ($)

    Cattle Sum Insured ($)

    Sheep Sum Insured ($)

    FARM CONTENTS

    Miscellaneous Farm Tools & Equipment Sum Insured($)

    Specified Items:

    Item Name

    Sum Insured ($)

    FARM THEFT

    Theft of Farm Contents ($)

    FARM MACHINERY & ELECTRONIC EQUIPMENT BREAKDOWN

    Blanket Cover (Ex motors >15kw/20hp)

    Deterioration of Stock - Sum Insured ($)

    Specified Machinery List:

    Description

    Size (Kw/Hp)

    Sum Insured



    FARM LIABILITY

    Limit of Indemnity

    Any formal contracts in place?

    Overnight Accommodation/B&B?

    Annual Turnover ($)

    Contract Harvesting?

    Annual Income ($)

    Agistment?

    Annual Income ($)

    Attend Farmers Market?

    How often do you attend?

    Agistment?

    Annual Income ($)

    Other activities list:

    Description

    Annual Turnover ($)

    Landing Strips?

    How many landing strips?

    Are they used by Third Parties?

    Are they maintained in accordance with Civil Aviation guidelines CAAP 92-1(1)?

    Wages/Labour Hire & Contractors/Sub-Contractor Payments

    Wages

    Previous 12 Months ($)

    Next 12 Months ($)

    Number of employees

    Previous 12 Months

    Next 12 Months

    LABOUR HIRE

    Labour Hire List:

    Nature of Work

    Previous 12 Months ($)

    Next 12 Months ($)

    CONTRACTORS / SUBCONTRACTORS

    Contractors / Subcontractors List:

    Nature of Work

    Previous 12 Months ($)

    Next 12 Months ($)

    MISCELLANEOUS FARM LIABILITY


    Do you conduct Aerial Spraying?

    Do you allow third parties to access any dams on your properties?

    Do you grow any GMO crops?

    Type of crops

    Do you export/import directly any goods?

    Provide value & details of exports/imports & to and from which countries (including Annual Turnover)?



    FARM INTERRUPTION

    Loss of Farm Income (Revenue) ($)

    Increased Costs of Working (including Agistment) ($)

    Indemnity Period

    FARM TRANSIT

    Cover: Fire, Flood, Collision or overturning of the conveying vehicle



    FARM VEHICLES

    Sedans / Wagons / Utes < 2.5t List:

    Make

    Model

    Year

    Description

    Sum Insured $

    Rego

    NCB

    Agricultural Equipment & Mobile Plant Vehicle List:

    Year

    Type

    Description

    Sum Insured $

    Rego

    Trucks / Utes > 2.5t Vehicle List:

    Year

    Type

    Make

    Model

    Description

    Sum Insured $

    Rego

    NCB



    FARMHOUSE BUILDING/CONTENTS

    Address

    City / Town

    State

    Postcode

    Year Built

    Construction

    Re-wired in last 25 years

    Type of Occupancy (homestead, holiday home, etc)

    Unoccupied for how many days/months?

    Heritage Listed

    Building ($)

    Contents ($)

    Specified contents list:

    Description

    ($)



    VALUABLES & PERSONAL EFFECTS

    Valuables and personal effects list:

    Description

    ($)

    QUOTE CONTACT DETAILS

    First name

    Mobile

    Email

    By providing your contact details, you agree that they can be used to contact you by email and / or phone to assist with this insurance quote and discuss your insurance needs.

    Scroll To Top