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The answers supplied by us within this online placement system are accurate and truthful.
I/We have not withheld any information likely to affect the acceptance of this insurance, or the terms the Insurer will offer.
I/We have the consent of all persons covered by the Policy to provide personal and sensitive information on their behalf.
I/We have received consent to the collection, storage and disclosure of personal and sensitive information of all persons covered by this application
with their approval.
I/We realise that failure to comply with the Duty of Disclosure may result in any claims not being met.
If anything should happen during the Period of Insurance which alters any of the information provided herein, I/We shall immediately inform GSA/the
Insurer in writing.
I/We understand that the insurance available through Costs Cover is limited to that offered by the Insurer/s listed on the website.
I/We are aware that Costs Cover is a trading name of RETLAW Financial Services Pty Ltd. The product is distributed by GSA Insurance Brokers Pty Ltd
(ABN 34 084 437 196; AFSL 238477). That GSA acts as the agent of the Insurer in respect of the insurance product offered on this website and not
as your agent. Any advice does not consider your individual needs. I/We have not relied on any advice provided by GSA in making the decision to
I/We confirm that we understand the cover operates on a Claims Made and notified basis. Please refer HERE for explanation.
I/We confirm that we understand the cover can be initiated upon receipt of a client initiated costs assessment.
I/We confirm that we understand how the retroactive date operates. Please refer HERE for explanation.
Please note cancellation of the policy is subject to cancellations conditions.
Duty of Disclosure
Before you enter Into a contract of general Insurance with an Insurer, you have a duty, under the Insurance Contracts Act 1984, to disclose to the Insurer every matter that you know, or could reasonably be expected to know, Is relevant to the insurer's decision whether to accept the risk of the Insurance and, if so, on what terms.
You have the same duty to disclose those matters to the Insurer before you renew, extend, vary or reinstate a contract of general insurance.
Your duly however does not require disclosure of matter:
that diminishes the risk to be undertaken by the insurer;
that is of common knowledge;
that your insurer knows or, in the ordinary course of his business, ought to know;
as to which compliance with your duly is waived by the insurer.