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Management Liability Questionnaire
BIB Client Code
*
Name
*
First
Last
Insured Name
*
include whole entity name
Year Business began Trading?
*
Email
*
Phone
*
Website
Risk Questions
Are you currently insuraced for ML?
*
Yes
No
Company Industry
State Head Office is Located in?
*
Please Select
Australian Capital Territory
New South Wales
Victoria
Queensland
South Australia
Western Australia
Tasmania
Northern Territory
Number of staff (including directors) Estimated wages?
*
Estimated Cross Turnover?
*
Please Select
up to 500,000
500,000 - 1,000,000
1,000,000 - 5,000,000
5,000,001 - 10,000,000
10,000,000+
Are you Domiciled in Australia?
*
Yes
No
Are you exempt from any Stamp Duty or Insurance Premium?
*
Yes
No
If yes, which state
How much do your turnover generate in each State/Territory
*
Overseas
WA
VIC
TAS
SA
QLD
NT
NSW
ACT
must equal 100%
Do you have firewalls protecting your own and customer/client data?
*
Yes
No
Don't Know
Are all mission/business critical systems and data information assets backed up and stored at another location?
*
Yes
No
Don't Know
Do you protect all Personally Identifiable Information through Encryption?
*
Yes
No
Don't Know
Do you have a data Protection/Privacy policy?
*
Yes
No
Don't Know
Do you outsource the handling of any personally Indentifiable Information?
*
Yes
No
Don't Know
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Email
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