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SSAA General Insurance Brokers arrange all types of car insurance with coverage obtained from Australia’s leading insurance companies.

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Car Insurance

SSAA Insurance Brokers offers a range of car insurance policies designed to cover most types of vehicles used for private or business use, excluding couriers.

Cover options available include:

  • Comprehensive
  • Third Party Fire and Theft
  • Third Party Property Damage

Complete your quote online

    Insured details

    First name*
    Surname*
    Date of Birth*

    Home phone
    Work phone
    Fax number

    Mobile phone*
    Email address*

    Postal address
    Suburb/town
    State

    Postcode

    Over 55 & Retired?*
    YesNo

    Preferred Method of Contact?*
    EmailPhoneFax

    SSAA membership number (if applicable)

    Vehicle Details

    Year of manufacture*
    Make*
    Full model details*

    Engine size*
    Registration number*
    Body type*

    Purchase Price*
    Colour

    Transmission type*
    Auto TouchtronicAutomaticManualTiptronic

    Is the vehicle fitted with an alarm?*
    YesNo

    Is the vehicle fitted with an immobiliser?*
    YesNo

    Is the vehicle turbocharged?*
    YesNo

    Is the vehicle roadworthy & registered?*
    YesNo

    Modifications, please supply details and value
    Accessories, please supply details and value

    Vehicle use?
    PrivateBusiness

    If business, occupation

    Kept overnight at postal address?
    YesNo

    Address where vehicle is kept overnight

    Address

    Suburb

    State

    Postcode

    Other

    Garaging Details?*
    GarageDrivewayCarportStreet

    Financed?*
    YesNo

    Yearly distance travelled?
    Up to 5000kmUp to 15000kmUp to 20000kmMore than 20000km

    Vehicle policy cover and history

    Current no claim bonus or rating?*
    0%/0yrs20%/1yr30%/2yrs40%/3yrs50%/4yrs60%/5yrs

    Current insurer*
    Expiry date*

    Current excess*
    Current premium*

    Type of cover?*
    Comprehensive (Market Value)Agreed ValueThird Party Fire & Theft (Market Value)Third Party Property Damage

    Agreed value cover amount (if applicable)

    Policy options

    No Claim Bonus Protection (if Rating 1)?*
    YesNo

    Excess free Windscreen cover?*
    YesNo

    Restricted Driver Discount (excludes cover for under 30 year olds)?*
    YesNo

    Named Driver Option?*
    YesNo

    Car Rental Following an Accident?*
    YesNo

    Drivers

    Number of drivers*

    Driver 1

    Name*
    Date of birth*
    Year licence obtained*

    Owns this vehicle*
    YesNo

    Registered owner of another vehicle*
    YesNo

    Driver 2

    Name
    Date of birth
    Year licence obtained

    Owns this vehicle
    YesNo

    Registered owner of another vehicle
    YesNo

    Driver 3

    Name
    Date of birth
    Year licence obtained

    Owns this vehicle
    YesNo

    Registered owner of another vehicle
    YesNo

    Driver 4

    Name
    Date of birth
    Year licence obtained

    Owns this vehicle
    YesNo

    Registered owner of another vehicle
    YesNo

    Driver 5

    Name
    Date of birth
    Year licence obtained

    Owns this vehicle
    YesNo

    Registered owner of another vehicle
    YesNo

    Insurance history

    Has any applicant been declared bankrupt and not discharged for at least one year?*
    YesNo

    If Yes, please supply details

    During the past 5 years has any applicant or driver had any:

    (1) Insurance declined or cancelled?*
    YesNo

    If Yes, please supply details

    (2) Renewal declined or refused?*
    YesNo

    If Yes, please supply details

    (3) Excess or special conditions imposed?*
    YesNo

    If Yes, please supply details

    (4) Driver’s licence or learner’s permit cancelled, suspended, disqualified, reduced to a lesser grade or had special conditions imposed?*
    YesNo

    If Yes, please supply details

    (5) Prior accidents or claims with another insurer for motor insurance?*
    YesNo

    If Yes, please supply details

    (6) Motor vehicles burnt or stolen?*
    YesNo

    If Yes, please supply details

    (7) Driving offences, infringements, convictions or currently have any of these pending?*
    YesNo

    If Yes, please supply details

    (8) Convictions for DUI of alcohol or drugs?*
    YesNo

    If Yes, please supply details

    (9) Prior claims rejected?*
    YesNo

    If Yes, please supply details

    During the last 10 years has any applicant had any criminal conviction relating to drugs, dishonesty, arson, theft, fraud or violence against any person or property?*
    YesNo

    If Yes, please supply details

    By submitting this form you certify that you have read and agree to the Duty of Disclosure. (View)

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    Contact SSAA Insurance

    Send us your details and questions and one of our insurance experts will get back to you ASAP.

    • 08 8332 0281
    • insurance@ssaains.com.au
    • Suite 1/ 212 Glen Osmond Road Fullarton, SA, 5063 Australia

    Disclaimer

    The information provided by SSAA General Insurance Brokers Pty Ltd on this website is for general information purposes only, and it is not a substitute for professional advice. You should always consider the PDS/Policy wording before making a decision.

    Coverage may differ based on specific clauses in individual policies. Refer to the FSG on our website or by requesting a copy for our services and remuneration details. 

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