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Consultants Insurance Quote Request

Consultant Insurance Quote Request

Please complete this form to arrange your insurance quote with Webber Insurance. We use this form in place of a paper form to submit to the insurers to arrange a quote.
Please note that your information is saved on our server as you enter it, which will allow you to save and continue your form later on.
To save the form, please click the link at the bottom of this page.
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  • Your Information


  • About Your Business


  • Limits of Cover


  • Risk Management


  • Claims Experience


    The term YOU in the questions below relates to your Firm, Company or you as a Sole Practitioner including present or former Partners, Directors, Principals, Consultants, or Employees.


  • Other Insurances


  • Additional Information


  • Important Information


    Please take a moment to read these important documents prior to submitting your form.


  • Declaration

    • I/WE declare that we have read the important notices attached above and I/WE understand those notices.
    • I/WE undertake to inform insurers of any material alteration to these facts whether occurring before or after completion of the Contract of Insurance.
    • I/WE hereby acknowledge that the insurance cover may be provided in whole or in part by overseas insurers.


  • Signature


    This electronic signature will be treated the same as if signed personally.
  • Clear Signature
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