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To fill out this form, begin by reading all instructions carefully. Ensure you understand each question before providing your answers. Finally, review your responses for completeness and accuracy before submission.

How to fill out the Public and Products Liability Proposal Form?
1
Read the proposal form thoroughly.
2
Answer all questions accurately.
3
Provide any additional relevant information.
4
Review your answers before submitting.
5
Sign and date the form at the end.
Who needs the Public and Products Liability Proposal Form?
1
Business owners seeking liability insurance.
2
Insurance brokers preparing proposals for clients.
3
Companies wishing to renew existing liability coverage.
4
Organizations expanding their insurance portfolio.
5
Individuals needing coverage for product-related claims.
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What are the instructions for submitting this form?
Submit this form via email to submissions@libertyspecialtymarkets.com.au or fax it to +61 2 8298 5801. You may also send it via postal service to Locked Bag 18, Royal Exchange NSW 1225, Australia. Ensure you follow the instructions precisely for a smooth submission process.
What are the important dates for this form in 2024 and 2025?
Important dates for submission will vary, so ensure you check annually for updates. Keep an eye on renewal deadlines to avoid lapses in coverage. Always submit the form ahead of time to allow for processing.

What is the purpose of this form?
The purpose of this form is to formally propose an application for public and products liability insurance. It ensures that all necessary information is collected to assess the insurance risk accurately. By completing this form, applicants fulfill their duty of disclosure, which is essential for obtaining coverage.

Tell me about this form and its components and fields line-by-line.

- 1. Personal Information: Fields requiring details about the applicant's identity including name, address, and contact information.
- 2. Insurance History: Questions regarding previous insurance coverage and claims history.
- 3. Business Details: Information related to the nature of the business and operations.
- 4. Disclosure Statements: Sections dedicated to mandatory disclosures and acknowledgments.
- 5. Signature: Field for the applicant to sign and date the form, confirming all information is accurate.
What happens if I fail to submit this form?
Failing to submit this form can lead to a lack of insurance coverage, exposing you to liabilities. Timely submission is essential to ensure continuous coverage and protection against potential claims.
- Lapse in Coverage: Without timely submission, your insurance coverage may lapse, leaving you unprotected.
- Increased Premiums: Delays in submission may result in higher premiums upon renewal.
- Potential Claims Denied: If the form is not submitted, any claims made may be denied due to lack of active coverage.
How do I know when to use this form?

- 1. Initial Application: Use this form to apply for new right coverage.
- 2. Policy Renewal: Complete the form to renew existing liability insurance coverage.
- 3. Policy Updates: If there are changes to your business operations, fill out this form to reflect those updates.
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Is this PDF mobile-friendly?
Yes, you can edit and view the PDF on your mobile device easily.
Where can I find this form?
This form is available on our website under the insurance documents section.
What if I have more questions?
Feel free to contact our support for assistance with your queries.
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