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 Brokers National 

Brokers National can assist you with a variety of Marine products                                     Some of the covers available include: Marine Cargo, Goods In Transit, Carriers Indemnity, Carriers Load, or Household Effects                                        We can obtain quotations for both Local & Overseas for you                                                    We can assist you with Single One Off Carries & also an Annual Declaration policy                                                    There is a variety of covers available including: All Risks, Defined Perils, Accidental Damage                                           Optional policy extensions include Theft & Non Delivery                                           Simply complete the questions on the form below

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Freight Cargo / Goods in Transit Insurance Quote


Thank you for considering our on-line marine cargo or carriers  insurance quote service. Brokers National has accounts with most insurers and underwriting agencies. We aim to find you the best marine cargo or carriers insurance deal possible.
Please fill in the following form - answering all questions, then either:

1. Click on "Email to Brokers National" at the bottom of this form.  OR                               

2. Highlight this form to "Print It" and then "Fax It" to our office on 03 9791 6633.


 Use the Mouse or the Tab key to move to the next field. We will respond with quotes as soon as they have been received from our insurers.

Freight Cargo & Goods In Transit


Description of items / all goods to be insured, including their values:


The transit is: Local       Import      Export
Method of packing:
Estimated Annual Carry: $
Basis of valuation:
Limit anyone load or transit: $ per load
Goods are in transit: From:    To:
Radius of operations: From BaseKilometres  
Registered Numbers of vehicles to be insured:
Is a Consignment Note used: Yes       No
Method(s) of transport (road/rail/air/post/sea):
Conditions - requested:
Excess - amount preferred: $

Insurance History Details:
Present insurer:
Present cover expiry date:
Current conditions:
Current rates:
Current excess: $
Annual Declaration ( Subject To Insurer Audit)
Turnover or Sendings or Earnings - current year: $
Turnover or Sendings or Earnings - previous year: $
Turnover or Sendings or Earnings - prior year: $
Declare Claims Incurred Below
Claims - current year: $
Claims - previous year: $
Claims - 2 years ago: $
List any major claims included above: $


Any other notes you wish to include about the cover you are seeking or anything else:
 

Contacting you about your quote:

Please make sure you leave a contact phone number and the best time to call you.
Your Name:
Company name:
Your Phone Number & Area Code:
Best Time(s) To Call:
Please send my quote by (select at least one): email     phone     fax     mail
Your Email:
Your Facsimile:
Your Postal Address:

Click On Email Quote To Send         Form To Us
 

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