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Apply for insurance online

Use this form if you want to apply for Death, Total and Permanent Disablement (TPD) and/or Income Protection insurance online. If you have any questions, call us on 1800 222 071 between 8am and 8pm weekdays.

For help choosing your level of cover, use the Insurance cover and cost calculator

Registered for online access?

You can now apply to update your insurance online.

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What insurance are you applying for*? Tick as many as apply.
What waiting period would you like on your IP (if applicable)?

* Required field.

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