Insurance Application | Clear Lease Novated Leasing

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Registered Owner

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Driver(s) Details

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Vehicle Security

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Owner/Driver History

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Declaration

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The Registered Owner of the Car

First Name

Last Name

Email

Phone (Mobile)

Phone (Work)

Street Address

Suburb

Postcode

State

Next Step

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Registered Owner

2

Driver(s) Details

3

Vehicle Security

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Owner/Driver History

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Declaration

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Covered Driver(s)

First Name (Covered Driver)

Last Name (Covered Driver)

Date of Birth

Sex

Female

Male

% Use of the Vehicle

What Year Did you Obtain your Licence in Australia

Delete

Add another covered driver (maximum of 4)

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1

Registered Owner

1

Driver(s) Details

1

Vehicle Details

1

Owner/Driver History

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Declaration

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Declaration

In submitting this form, I,

<first-name>

<last-name>

:

Acknowledge and understand the Terms & Conditions of the Fleet Manager Comprehensive Motor Car Insurance Policy.

Declare that I have received a copy of the Policy Disclosure Statement, Financial Services Guide and have had opportunity to review the Target Market Determination.
I have read the information concerning the duty of disclosure and other important notices; I have answered every question fully & frankly; & I have either completed this proposal form personally, or if it has been completed by someone else, I have checked that the questions have been fully and accurately answered.

Please be advised that the initial approval of this application is based on the information provided, and if additional information is required, you may be contacted by the Fleet Manager.

‍PLEASE NOTE: This application and any quote given are subject to full assessment on all the information provided by the applicant and are indicative to full assessment by the Insurer. Any failure to provide the correct information may give the Insurer the right to deny any claim.

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Novated Lease Insurance Application

For those Considering a Novated Lease

Know the car? See the Savings.

Considering an EV?Consider 45% in Savings.

For Businesses Looking for a Novated Leasing Partner

A perk they'll brag about.

For our Current Clients

Manage all of your lease in one place.

Novated Lease Insurance Application

Considering an EV?
Consider 45% in Savings.