HIA Insurance Services

Request a certificate of currency -

Contract Works and Public Liability

Please complete the form below and we will contact you within 2 working days

HIA Insuarance Services values the privacy of personal information. See our privacy policy.

Please be sure to provide all the information requested below.

Your details

Builder    
Building Lic/Reg. number    
City and state       
Your policy number     32 H CAR
Client reference number    
Your return fax number    
Your email address    

Other information

Owner's names    
Mortgagee (bank)    
Description of contract    
Address of contract    
Contract value $    
Start date     (dd/mm/yyyy)
Expected finish date     (dd/mm/yyyy)

Contact details

Phone/mobile    
Suggested contact time
If possible, we will contact you at the time your request
9.00am to 12.00pm   12.00pm to 3.00pm   3.00pm to 5.00pm   Anytime, 9.00am to 5.00pm  

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