You are able to attach trauma cover for your children (aged 3-15 years) to your life insurance policy.
Please complete details below for a quotation.
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Parent's Details
Salutation
SelectMrMrsMsMissDrOther
Smoker?**
Selectnon-smokersmoker
First Name*
Surname
Date of Birth
Day12345678910111213141516171819202122232425262728293031MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935
Gender
SelectMaleFemale
Email Address*
Phone
Street Address
Suburb
State
SelectNSWVICQLDSAWATASACTNT
Postcode
Occupation
Select an occupationOtherACCOUNTANT-DEGREEACCOUNTANT-OTHERACTORACTUARY-OTHERACTUARY-QUALIFIEDADMIN WORKER(OFFICE)ADVERTISING EXEC.AGENT-ADVERTISINGAGENT-CUSTOMAGENT-EMPLOYMENTAGENT-INS (OTHER)AGENT-INS(EST 3 YRS)AGENT-REAL ESTATEAGENT-TAB(FULLTIME)AGENT-TRAVELAIR COND-TECHNI(MAN)AIR COND-TECHNI(SUP)AIR IND-AIR TRAF CONAIR IND-AIRCREWAIR IND-BAG HANDLERSAIR IND-CLERICALAIR IND-MAINT(NO FL)AIR IND-MANAGEMENTAIR IND-TECHN(NO FL)AMBULANCE OFFICERANAESTHETISTANTENNA ERECTOR <10MANTENNA ERECTOR >10MANTIQUE DEALER RESTNANTIQUE DEALER SALESARCHITECTARMED FORCESAUCTIONEERAUDITOR-OTHERAUDITOR-QUALIFIEDAUTHOR / WRITERAUTO-ELECTRICIANBACKHOE/BCAT/BDOZERBAKER/PASTRY COOKBANK-MGR CLERKSBANK-SECURITY-UNARMBANK-SENIOR MGRBARBERBARRISTERBARTENDER FULL TIMEBEAUTICIANBIOLOGIST-FIELD WORKBIOLOGIST-NO FLD WRKBLUE COLLAR MANUALBLUE COLLAR SKILLEDBOAT BUILDERBOILERMAKERBOOKKEEPERBRICKLAYERBUILDER -ADMIN ONLYBUILDER-FOREMANBUILDER-INSPECTORBUILDER-OTHERBUS DRIVER - INTSTBUS DRIVER - LOCALBUTCHER-RETAILCABINET MAKERCAR SALESPERSON-NEWCAR SALESPERSON-USEDCARAVAN PARK-PROPRCARAVAN PARK-WORKERCARPENTERCARPET CLEANERCARPET LAYERCASHIER-SHOPCASINO-CROUPIER 2YRSCATERERCHAUFFEURCHEF-COOKINGCHEF-SUPERVISINGCHEMICAL-ANALYSTCHEMICAL-ENGINEERCHEMICAL-INDUST CHEMCHEMICAL-TECHNICIANCHEMISTCHILDCARE WORKERCHIROPRACTORCLEANER-INDUSTRIALCLEANER-OFFICECLERGY/MINISTERCLERKCOMPUTER-CONS/PROG-DEGREECOMPUTER-CONS/PROG-NO DEGREECOMPUTER-ENGINEERCOMPUTER-TECHNICIANCONCRETERCOOKCOURIERCRANE OPERATORCUSTOMS-CLERICALCUSTOMS-OTHERDECORATOR NO MAN WRKDECORATOR-MANL WRKDENTAL TECHNICIANDENTISTDIETICIANDOCTORDRAFTSPERSONDRESSMAKERDRIVER-AMBULANCEDRIVER-ARMOURED CARDRIVER-BULLDOZERDRIVER-BUS INTRSTATEDRIVER-BUS LOCALDRIVER-COURIER CARDRIVER-COURIER/BICLDRIVER-EARTH MOVINGDRIVER-FORK LIFTDRIVER-INSTRUCTORDRIVER-LOG HAULIERDRIVER-REMOVALISTDRIVER-TAXI OWNER-DRDRIVER-TOW TRUCKDRIVER-TRAINDRIVER-TRUCK INTERDRIVER-TRUCK METROEARTHMOVERECONOMISTELECTRICIANENGINEER-UP TO 10% MANUAL WORKENGINEER-CIVILENGINEER-OFFICE BASED CONSULTINGENGINEER-AERONAUTICALFACTORY WORKERFARMER Describe TypeFASHION DESIGNERFILM-DIRECTORFILM-DISTRIBUTORFILM-MAKE UP ARTISTFILM-PRODUCERFILM-TECHNICIANFILM-WARDROBEFINANCIAL ADV-DEGREEFINANCIAL ADV-OTHERFIREFIGHTERFISHERMANFISHMONGERFITTER AND TURNERFUNERAL-DIRECTORFUNERAL-UNDERTAKERSFURN. REMOVAL-LOCALFURN. REMOVAL-OTHERGARBAGE COLLECTORGARDENERGAS FITTERGEOLOGIST - OFFICEGEOLOGIST-FIELD WORKGLAZIERGOLF PROF-SHOPGOLF PROF-TOURINGGRAPHIC DESIGNERGREEN KEEPERGYMNASIUM INSTRUCTORGYNAECOLOGISTHAIRDRESSER/BARBERHANDYMANHORSE BREEDERHORSE TRAINERHORTICULTURISTHOSPITAL-ORDERLYHOTEL - BOUNCERHOTEL - BOTTLE SHOPHOTEL - KITCHEN HANDHOTEL - MANAGER 5 STARHOTEL - CHEFHOTEL - MANAGER WITH BAR WORKHOTEL - MANAGER NO BAR WORKHOTEL - OFFICEHOTEL - RECEPTIONHOTEL-PORTERHOUSEPERSONINSURANCE AGENT 3YRSINSURANCE AGENT OTHINSURANCE ASSESSORINTERIOR DECORATORJEWELLERJOURNALIST - OFFICE ONLY FREELANCEJOURNALIST - FREELANCE OTHERJOURNALIST - SALARIED OFFICE BASEDJOURNALIST - SALARIED OTHERJUDGELABORATORY TECHN.LABOURERLANDSCAPE GARDENERLAWYERLIBRARIANLOCKSMITHM/V-ASSEMBLY WORKERM/V-DETAILERM/V-SALES-NEWM/V-SALES-USEDM/V-WRECKERMACHINIST - CLOTHINGMACHINIST-METAL/WOODMAIL CONTRACTORMANAGEMENT CONSULTNTMANICURIST-NOT @ HOMMASSEUR (QUALIFIED)MECHANICMEDICAL PRACTITIONERMETER READERMILKBAR EMPLOYEEMILKBAR PROPRIETORMINE - UNDERGROUNDMINE-SURFACE-SKILLEDMINE-SURFACE-UNSKILDMODELMUSICIANNATUROPATHNEWSAGENT-DELIVNURSE - AIDENURSE - DENTALNURSE - MATRONNURSE-GENERALNURSE - THEATRENURSE - REGISTEREDOCCUPATIONAL THERAP.OFFICE WORKEROIL/GAS-OFFSHORE WKROIL/GAS-PIPELINE WKROIL/GAS-REFINERY WKROIL/GAS-TANKER DRIVROPTICIANOFFICE WORKER - ADMINOPTOMETRISTORTHODONTISTOSTEOPATHPAINTER-OVER 10 MTRPAINTER-UP TO 10 MTRPANEL BEATERPERSONAL/FIT TRAINERPERSONNEL CONSULTANTPHARMACISTPHOTOGRAPHER-STUDIOPHYSIOTHERAPISTPLASTERERPLUMBER - DOMESTICPLUMBER - ROOFSPOLICEPRINTERPRISON OFFICERPROCESS/PROD WORKERPSYCHIATRISTPSYCHOLOGISTQUANTITY SURVEYORRADIOGRAPHERRADIOLOGISTREAL ESTATE AGENTRECEPTIONISTREPORTERRESTAURANT - CHEFRESTAURANT - PROPR/RSALES REP-DELIVERIESSALES REP-NO DELIVRSSECRETARYSECURITY GUARD-ARMEDSECURITY GUARD-UNARMSERVICE STATION OWNESHEET METAL WORKERSHOP PROP-DESCRIBE BELOWSHOP PROP-STATIONERYSHOP PROP-SUPMRKT DESHOP PROP-TOYSSHOP PROP-VIDEO SHOPSIGNWRITER OVR 10MTRSIGNWRITER TO 10MTRSOCIAL WORKERSOLICITORSPRAY PAINTERSTOCK&STAT AGENT MANSTOCK&STAT AGENT NonManSTOCKBROKER-EST>2YRSSTOREPERSONSURVEYOR-QUANTITYTAILORTEACHER- NO MANUAL SUBJECTSTEACHER-HEADMASTERTEACHER - PHYS ED / MANUAL ARTSTEACHER-PRE SCHOOLTEACHER-TRADES/MANULTELEPHONISTTILER - FLOOR/WALLTILER - ROOFTIMBER MERCHANTTOOLMAKERTRAVEL AGENTTRUCK DRIVER- NO INTTRUCK DRIVER-INTERTYPISTVET SURGEON-DOMESTICVET SURGEON-OTHERWAITER / WAITRESSWELDERWHARF/WATERSD WORKERWHITE COLLAR MANAGERWINDOW CLEANR-SUBURBZOOKEEPERZOOLOGIST
Or Describe Occupation
** select smoker if you have smoked in the last 12 months
Lump Sum Cover
Note that you must take out trauma cover to access the child's life cover.
Term Life Cover lump sum on death
$
TPD Cover
Trauma Cover lump sum on medical events
Children Details
First Name
Age
Sex
selectmalefemale
$0$50,000$100,000