Insurances

Insurance Quote Request

To obtain a quote for your insurance needs please complete your personal details below. If you are unsure as to the purpose of each type of insurance cover you can click on the "ï" to obtain some information on that type of cover.

Upon receipt of your enquiry an iRefund representative will contact you to provide a number of market quotes for the type of cover you have selected.

People to be insured: Individual Couple

Please submit only genuine details and email address, otherwise quotes will not be produced.

Personal Details

Title:*
First Name:*
Last Name:*
Email:*
Gender:* Male Female
Date of Birth:* [dd/mm/yyyy]
Marital status:*
Occupation:*
Smoker Status:* Non-Smoker Smoker
(select 'Smoker' if you smoked in the last 12 months)
Address:*
Suburb:*
State:*
Postcode:*
Phone(m):*
Phone(h):*
Phone(w):*

What kind of insurance are you interested in?

Lump sum cover*
Term Life Cover:
Total Permanent Disability
(TPD) Cover:
Trauma Cover:
Income Protection Cover*
Annual Income:
Type of Policy: Agreed Indemnity
Waiting Period:
Benefit Period:

Additional Information

Personal Details

Title:*
First Name:*
Last Name:*
Email:*
Gender:* Male Female
Date of Birth:* [dd/mm/yyyy]
Marital status:*
Occupation:*
Smoker Status:* Non-Smoker Smoker
(select 'Smoker' if you smoked in the last 12 months)
Address:*
Suburb:*
State:*
Postcode:*
Phone(m):*
Phone(h):*
Phone(w):*

What kind of insurance are you interested in?

Lump sum cover*
Term Life Cover:
Total Permanent Disability
(TPD) Cover:
Trauma Cover:
Income Protection Cover*
Annual Income:
Type of Policy: Agreed Indemnity
Waiting Period:
Benefit Period:

Additional Information

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