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    
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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