Important Notices:

The information you're providing in this application will be relied upon by the Insurer to decide whether or not to accept your insurance as proposed, and if so, on what terms.

Answer each question truthfully and accurately.  If you don't understand the questions please contact me on 0274909011 before submitting this application.

 

Recruitment Agency Liability Application

LET'S GET TO KNOW YOU

Do you operate outside of New Zealand?

RIGHTO, WHAT DO YOU NEED?

Please select the following complimentary covers
Have you entered into any contracts that indemnify or hold harmless your clients?

CONFESSION TIME

Are you aware of any circumstances (prior or pending) that could eventuate into a claim against an employee or the company?
Have you had any past claims or disputes in fees?
I/We agree and accept that I/We declare and warrant that the information I/We have provided in this application is correct, truthful and complete; and that this application will form the basis of the contract between me and the Insurer.