Austbrokers Comsure | MEA Master Program Insurance Review

Registered Business Name*

Trading Name*

Preferred Contact Person*

Preferred Contact Number*

Preferred Contact Email*

ABN*

What state(s) does your business operate in?*

MEA Membership Number*

Your Electrical Contractors Licence Number*

Estimated annual gross turnover (this information will be kept confidential, and is required to provide an indicative Liability Insurance quotation)*

Current number of staff - Trade/Technical*

Current number of staff - Admin*

Current number of staff - Apprentices*

Current number of staff - Other*

Do you engage labour hire personnel?*

Yes
No

Please provide works undertaken and annual fees paid*

Do you engage sub-contractors*

Yes
No

Please provide works undertaken and annual fees paid*

Please provide works undertaken and annual fees paid

Please advise of any activities undertaken outside of: general electrical installation or maintenance and servicing (domestic, commercial, industrial); air-conditioning/refrigeration; solar; alarm installation (ex. monitoring); home and small business automation; data; domestic and commercial appliance repairs; testing and tagging*

Do you undertake any work within the following locations?*

mine sites
offshore platforms
chemical works
power generating facilities
airports or railways
docks, ports or wharves
None of the above

Do you directly import or export any products?*

Do you undertake any business activities outside of Australia*

Do you provide advice to your clients for a separate fee?*

Yes
No

Do you provide designs or specifications (even if outsourced through a consultant/engineer)?*

Yes
No

Do you provide your clients with a written report for electrical related inspections?*

Yes
No

Do you undertake project works under sub-contractor agreements?*

I would like to discuss in further detail:

business package insurance
cover for my tools and equipment
commercial motor insurance
cyber protection insurance
trade credit insurance

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Email

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