Agents & Brokers

If you would like to become a wholesale agent and provide this product to your client base, please complete and submit the form below. A Landcover representative will be in contact shortly.

Contact Details

First Name*

Surname*

Business Name

Email Address*

Confirm Email*

Mobile Phone

Landline

Street Address

Address 1*

Suburb*

State*

Postcode*

Postal Address

Same as Street Address

Address

Suburb

State

Postcode

AFS License

Do you hold an AFS license?*

Yes No

AFS License #*

Do you belong to any cluster group?*

To arrange this insurance on behalf of your client you agree to the following conditions and you will advise your clients accordingly:

There is no refund of premium or fees paid in the event of cancellation
Gross premium payment is required to activate the cover by using a credit card.
Commission you earn will be paid on a monthly basis at a flat rate of $20 including GST per policy.
Expiry advice will be advised by way of email to you prior to the expiry date. Therefore, no hold covered arrangements apply and if continuity of cover is required a new contract for 12 months would be required.

I have read and agree to the Terms & Conditions

Australia's Leading Vacant Land
Public Liability Insurance

Premiums
starting from
$190.00

Agents & Brokers

Australia's Leading Vacant Land Public Liability Insurance

Premiums starting from $190.00

Agents & Brokers

Australia's Leading Vacant Land
Public Liability Insurance

Premiums
starting from
$190.00