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Private Motor Insurance

For more information, contact us by phone, email, or using our online form below.

Available for most types of vehicles which are used for Private use and also business use, excluding Couriers. Please list all modifications and accessories to ensure we are able to correctly quote on your vehicle. Cover options available are Comprehensive, Third Party Fire and Theft, Third Party Property Damage.

In order for City Rural Insurance Brokers to provide you with an Obligation Free Quote, please complete the following.

  • Vehicle Detail 1

  • Insurance History of Car 1

  • DD slash MM slash YYYY
  • Insurance Declarations

  • Driver 1
    HAVE YOU EVER HAD:
  • Driver 2
  • Driver 3
  • Options
  • Drivers


    PLEASE SUPPLY DETAILS OF ALL DRIVERS
  • NameDOBOccupationYears Exp.Vehicle Driven% of Use 
  • Duty of Disclosure

  • In order to make an informed assessment of the risk and calculate the appropriate premium, your insurer needs information about the risk you are asking it to insure.

    For this reason, before you enter into a contract of insurance, you have a duty under the Insurance Contracts Act 1984 to disclose to your insurer every matter that you know, or could reasonably be expected to know, is relevant to the insurer’s decision whether to accept the risk and, if so, on what terms. The duty also applies when you renew, extend, vary or reinstate a contract of insurance.
    You do not have to disclose anything that:

    • Reduces the risk to be undertaken by the insurer;
    • Is common knowledge;
    • Your insurer knows, or in the ordinary course of its business, ought to know; or
    • If the insurer has waived your obligation to disclose.

    If you do not comply with your duty of disclosure, your insurer may be entitled to reduce its liability in respect of a claim or may cancel your contract of insurance. If the non-disclosure was fraudulent, the insurer may be able to avoid (or cancel) the contract of insurance from its beginning. This would have the effect that you were never insured.

    One important matter to be disclosed is the history of losses suffered by the person seeking insurance or any closely associated person or entity. As you are responsible for checking that you have made complete disclosure, we suggest that you keep an up to date record of all such losses and claims.

  • This field is for validation purposes and should be left unchanged.

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City Rural Insurance Brokers Pty Ltd

ABN 52 074 444 296 | AFSL 237491

200 Greenhill Road, Eastwood SA 5063
PO Box 7138 Hutt Street, Adelaide South Australia 5000

Telephone: (08) 8272 7785
Email: info@crib.com.au
Facsimile: (08) 8357 8994

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