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Independent Alliance Australia Sign Up Information

Last Updated:

12/15/2019

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Email Address

Your Name

First Name, Last Name

Your Address

Home Address, State

Phone Number

Mobile Phone

Post-Registration Data

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to Independent Alliance Australia.

Business Insurance Enquiry...

Hi Mark,

How are you? All ready for the silly season?

We have received an enquiry from you regarding business insurance. I have tried to call the contact number you left on our website however it doesn’t appear to be a correct phone number?

We would welcome the opportunity to quote your business insurance. If you would like to give me a call at a time that suits you and we can go over your business insurance needs?

Kind regards,

Independent_Alliance_Logo_RGB

Katelind Jensen - Independent Alliance Account Team

Your Insurance Broker I AFS Licence 244335

P 61 7 5491 9000 I F 61 7 5499 6622

The advice we have provided you is based on the information you have given us regarding your circumstances, and may be incomplete or inaccurate.

Please check all the information provided is correct and, before acting on our advice, consider its appropriateness in relation to your current insurance needs and circumstances.

CAUTION - This email and any attachments may contain legally privileged, personal or confidential information and may be protected by copyright. In relation to any legal use, you must comply with the Privacy Act (Cth) 1988.

If you are not the intended recipient, you must not use, disclose, retain, forward or reproduce this email or any attachments. If you receive this email and any attachments in error, please notify us immediately by reply email and permanently destroy the original (without making any copies).

Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.
http://www.mailguard.com.au/mg

Raw Data Registration Structure Registration Form Text

Registration

Company Name*

First name

Last name

Title

Phone (mobile)

Home address

State

Add another Director / Owner RemoveInsurance requiredInsurance required*

PI INSURANCE

OFFICE CONTENTS & STOCK SUM INSURANCE REQUIRED

OFFICE CONTENTS & STOCK SUM INSURANCE REQUIRED50k70k100k125k200k500k500k +Property or liability claims experiences in the last five years?

Yes

Is flood cover required?

Yes

NoConnected to town water?

Yes

Are you a member of your state body real estate institute?

Yes

NoDo you reference check prospective employees and contractors?

Yes

NoDo you use the Industry Standard forms and agreements from the institute body?

Yes

NoHave all staff completed their minimum professional development hours in the last 12 months?

Yes

Do you expect a change of 15% or more to the split of activities provided in the next 12 months?

Yes

NoHave any special terms of conditions ever been imposed on any insurance policy you have held?

Yes

NoHave you ever had any entitlement to indemnity under any insurance policy denied or otherwise affected due to non-disclosure, misrepresentation or breach of a policy provision?

Yes

NoHas any partner, director or employee of the agency ever been subject to any inquiry of disciplinary proceedings?

Yes

NoIs the agency including any of its partners, directors or employees aware of any facts which might give rise to a professional liability claim against any of them?

Yes

NoHas there ever been any suspension of the Real Estate Licence for any Salesperson, Manager or the Office?

Yes

Data Name	Data Type	Options
Company Name*	Text Box
First name	Text Box
Last name	Text Box
Title	Text Box
Email	Text Box
Phone (mobile)	Text Box
Home address	Text Box
State	Text Box
	option	Add another Director / Owner RemoveInsurance requiredInsurance required*
	option	PI INSURANCE
	dropdown	OFFICE CONTENTS & STOCK SUM INSURANCE REQUIRED
	option	OFFICE CONTENTS & STOCK SUM INSURANCE REQUIRED50k70k100k125k200k500k500k +Property or liability claims experiences in the last five years?
	option	Yes
	option	Is flood cover required?
	option	Yes
	option	NoConnected to town water?
	option	Yes
	option	Are you a member of your state body real estate institute?
	option	Yes
	option	NoDo you reference check prospective employees and contractors?
	option	Yes
	option	NoDo you use the Industry Standard forms and agreements from the institute body?
	option	Yes
	option	NoHave all staff completed their minimum professional development hours in the last 12 months?
	option	Yes
	option	Do you expect a change of 15% or more to the split of activities provided in the next 12 months?
	option	Yes
	option	NoHave any special terms of conditions ever been imposed on any insurance policy you have held?
	option	Yes
	option	NoHave you ever had any entitlement to indemnity under any insurance policy denied or otherwise affected due to non-disclosure, misrepresentation or breach of a policy provision?
	option	Yes
	option	NoHas any partner, director or employee of the agency ever been subject to any inquiry of disciplinary proceedings?
	option	Yes
	option	NoIs the agency including any of its partners, directors or employees aware of any facts which might give rise to a professional liability claim against any of them?
	option	Yes
	option	NoHas there ever been any suspension of the Real Estate Licence for any Salesperson, Manager or the Office?
	option	Yes