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Cyber Insurance Quote Form

Limit of Liability

Company Details

Do you process, transmit or store more than 10,000 financial transactions per year?

Yes No, less than 10,000

Do you use and keep up to date firewalls and anti-virus protection for all systems?

Yes No

Do you use third parties to complete audits of your system and security on a regular basis?

Yes NO

Are all portable devices password protected? (mobile phones, laptops, tablets, etc)

Yes No

Do you have encryption requirements for all data including portable media?

Yes No

Do you have back-up and recovery procedures for business critical systems, data and info assets?

Yes No

Do you outsource any part of your network, including storage?

Yes, we use third party providers. No, all managed in house

Do you store sensitive information on web servers?

Yes No

Do you know of any loss payments, fines or penalties being made on your behalf?

Yes No

Are you aware of any matter which might give rise to a claim or loss under such insurance?

Yes No

Have you suffered any loss or claim but not limited to a regulatory, governmental or administrative action brought against you, or any investigation or information request concerning any handling of personal info?

Yes No

The applicant or any subsidiaries have any knowledge of any loss payments, fines or penalties being made on behalf of any applicant or any person proposed for coverage any cyber policy or similar insurance?

Yes No
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Sections

Property & Contents

Yes, please quote No, thank you

Public & Products Liability

Yes, please quote No, thank you

Cyber Liability

Yes, please quote No, thank you

Theft & Money

Yes, please quote No, thank you

Computers & electronic equipment

Yes, please quote No, thank you

Business Interruption

Yes, please quote No, thank you

Machinery Breakdown

Yes, please quote No, thank you
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Company information

Cyber Data Risk Managers Pty Ltd T/As Cyber Insurance Australia (CAR 438443 I ABN 34 161 961 422

Corporate Authorised representative of Community Broker Network Pty Ltd | AFSL 233750 | ACN 096 916 184

Financial Services Guide (FSG), Privacy Policy, Complaints & Dispute Handling (FSG), Insurance Brokers Code of Practice (FSG)

Contact details

E-mail address:
contact@cyberinsuranceaustralia.com.au

1300 GOCYBER

1300 462 923

Available 8:30am - 5:00pm

1003/557 Little Lonsdale Street, Melbourne VIC 3000