To obtain a free premium quote please complete and the form below. If you require additional information on the cover provided by each policy, explore the links within the form or hover on the icons for further information.

Harlocks can quote from all leading Life Insurance Companies. Our advice is based on the most suitable policy for your needs, while allowing you flexibility to choose a policy to accommodate your financial position. When we provide a recommendation we provide a full Statement of Advice (SoA) which provides a comparison between companies, policies, definitions and premium cost. This allows our clients to make an informed decision based on our advice, while ensuring that the policy best suits their needs.

For more information or to obtain a quote over the phone please contact us

Privacy: We respect your privacy. The information that you provide will be used in the preparation of your quotations and for no other purpose. See our privacy statement for more detail.

* Please submit legitimate information, otherwise quotes will not be provided.

Personal Details- Required
 
Title: Gender:
First Name: Surname:
Date of Birth:    
Email Address: Phone:
Street Address: Suburb:
State: Postcode:
Occupation:
Smoker:  
Existing Client?
 
Lump Sum Cover
 

If you require a quotation on
lump sum covers.

Please provide the lump sum level of insurance cover you require.
If you wish to obtain premium comparisons on different levels of insurance cover, please provide different amounts in the "additional comments" box before you submit the form.
 
Term Life Cover - click for more information on term life
$
TPD Cover - click for more information on TPD
$
Trauma Cover - click for more information on trauma
$
 
Income Protection Cover - Individual
 
If you require an income protection quotation.
Which will provide an replacement income stream in the event you are unable to work due to sickness or injury. Please complete:
Current annual income
$  
 
What waiting period would you like to be quoted on?
14 Days 30 Days 60 Days 90 Days 6 months 1 year 2 years 
 
What benefit period would you like to be quoted on?
2 years 5 years Age 60 Age 65
 
Business Expense Cover - Business Owner
 
If you require an business expense quotation.
If you require cover to provide an replacement income stream for your business expenses if you are unable to work due to sickness or injury. Please complete the following:
Monthly benefit required
$  
 
What waiting period would you like to be quoted on?
14 Days 30 Days 60 Days 90 Days
 
Replacement of existing Cover
 
If you require a quotation to replace your existing Insuarnce Cover.
Please provide details on your existing insurance policy and the approximate cost. Additionally add more specific details of your policy in the comments section below (e.g. policy name, waiting period, benefit period, packaged policies, etc..)
 
 
Insurance Company
Sum Insured
Cost Per Annum
Current Cover:
$
$
 
Additional Comments
 
 


 * Please verify all information before submitting form.

 
 
 Harlock Group of Companies.
 Harlocks Pty. Limited ABN 78 008 552 010.
 Copyright © 2006 Harlocks Proprietary Limited 
Important information  Privacy Policy  Contact Us  Home 
 Harlock Investment Services Pty Ltd ABN 86 008 542 390.