Insurance Quotation Process

FIRST TIME CUSTOMERS

Where Should We Send
Your Documents?

ALREADY HAVE AN ACCOUNT ?

Value and Certification

Select Your State *
This field is required.
Amount to be Insured (Must be minimum $5000 AUD) *
This field is required.
Annual Premium
This field is required.

INC. FEES AND CHARGES

Certificate *
Laboratory *
This field is required.

 

Diamond Details

Description *
This field is required.
Metal Type *
This field is required.
Number of Certified Stones *

Select the exact number of stones to be insured.

Certification Details


Certificate Number *
This field is required.
Stone Shape *
This field is required.
Colour Grade *
This field is required.
Clarity Grade *
This field is required.
Photos of Stones *

Please upload* at least two (2) images taken from different angles.

This field is required.
Upload Certificate *
This field is required.
More Documentation (Optional)

In the event of a claim, the following documents can help support your ownership/value of the item such as:

  • Valuation document
  • Evidence of payment

* Files hosted on iCloud are not supported


Certificate Number *
This field is required.
Stone Shape *
Colour Grade *
This field is required.
Clarity Grade *
This field is required.
Photos of Stones *

Please upload* at least two (2) images taken from different angles.

This field is required.
Upload Certificate *
This field is required.
More Documentation (Optional)

In the event of a claim, the following documents can help support your ownership/value of the item such as:

  • Valuation document
  • Evidence of payment

* Files hosted on iCloud are not supported


Certificate Number *
This field is required.
Stone Shape *
Colour Grade *
This field is required.
Clarity Grade *
This field is required.
Photos of Stones *

Please upload* at least two (2) images taken from different angles.

This field is required.
Upload Certificate *
This field is required.
More Documentation (Optional)

In the event of a claim, the following documents can help support your ownership/value of the item such as:

  • Valuation document
  • Evidence of payment

* Files hosted on iCloud are not supported


Certificate Number *
This field is required.
Stone Shape *
Colour Grade *
This field is required.
Clarity Grade *
This field is required.
Photos of Stones *

Please upload* at least two (2) images taken from different angles.

This field is required.
Upload Certificate *
This field is required.
More Documentation (Optional)

In the event of a claim, the following documents can help support your ownership/value of the item such as:

  • Valuation document
  • Evidence of payment

* Files hosted on iCloud are not supported

Description *
This field is required.
Upload Certificate *
This field is required.

 

Wearer's Details

(Added as named insured)

Wearer's First Name *
This field is required.
Wearer's Last Name *
This field is required.
Wearer's date of birth *
This field is required.
Wearer's relationship to purchaser *
This field is required.
Have you bought/received this item within the last 30 days *
This field is required.
How was the item purchased/acquired *
This field is required.
Jeweller Name *
This field is required.
Jeweller Address *
This field is required.
Have you insured the item within the past 30 days? *
This field is required.
Insurer's Name *
This field is required.

 

Personal Policy Details

When would you like your cover to start? *
This field is required.
This field is required.
This field is required.
This field is required.
This field is required.
This field is required.
This field is required.
This field is required.
Your date of birth *

Policy holder must be 18 years or older.

This field is required.
This field is required.

Important: Please enter your best contact number below in case we have to contact you about your application.

This field is required.
This field is required.
Please confirm that the following statements are true *
  • The policy holder must be an Australian or New Zealand resident.
  • The policy holder or wearer
  1. Have not made any jewellery claims in the past 5 years
  2. Have ever been convicted of a criminal offence (other than a minor driving offence)
  3. Have any outstanding Court Judgments against you

I confirm that the above statements are true

I confirm that I have read and understand the Policy Information Document *

I confirm that I have read and understand the Product Disclosure Statement

Review and Pay


POLICY HOLDER


EMAIL


POLICY START DATE


POLICY RENEWAL DATE


INSURED VALUE


YOUR ANNUAL PREMIUM


INC. FEES AND CHARGES

I confirm my details are correct.

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