Skip to primary navigation
Skip to main content
Skip to footer

City Rural Insurance Brokers in Adelaide South Australia

City Rural Insurance Brokers in Adelaide South Australia, was established in July 1995 and over this time has developed specialist brokers in areas ranging from Commercial Motor, Market Stalls, Professional Indemnity, Liability, Business and Arts and Crafts Insurances for clients across Australia.

Menu

About Us
Products and Services
Close
- Information Sheets
  We have a range of product information sheets available for you to download
Online Forms
Galleries
- Close
- Gallery
- Market Stalls & Festivals
- Steadfast
Promotions
- Close
- 365 Roadside Assist
- NTI Truck Assist
News
Contact Us

Motor Vehicle Quote

Step 1 of 5 - Personal information

20%

Hi, let's get some details for your vehicle quote.
Registered Owner Name*
First Last
Address*
Street Address City State Post Code
Email*
Phone No*

Tell us about Vehicle details.
Vehicle Year/Make/Model*
Petrol or Diesel*
Body type*
Transmission*
Rego Number*
Purchase Price
Purchase Date
Date Format: DD slash MM slash YYYY
Engine Size
VIN Number*
Security Device Fitted?*
- Yes
- No
If yes, details of immobiliser or tracking system
Vehicle Roadworthy & Registered*
- Yes
- No
If no, please note further details

Tell us more details about your vehicle.
Use of Vehicle*
Occupation*
Address where vehicle is left overnight
Street Address
Parked overnight in*
If Other*
Finance*
- Yes
- No
Financier*
Accessories
Modifications
Colour of vehicle*
Approx number of kilometres driven per year*

Tell us about the drivers claims history
No Claim Bonus or Rating No*
Subject to written proof
Drivers Details*
Name Date of Birth (dd/mm/yyy) Years Occupation

Please ensure % of Use totals to 100% across all drivers.
Have any of the above drivers ever had:
Accidents or claims*
- Yes
- No
Traffic offences (excluding parking)*
- Yes
- No
Licence cancelled/ endorsed/ suspended*
- Yes
- No
Criminal convictions*
- Yes
- No
Bankruptcy*
- Yes
- No
If yes, to any of the above please give full details
Number of demerit points lost in 5 years*

Additional options
Windscreen protection*
- Yes
- No
Hire car after an accident*
- Yes
- No
Type of Cover Requested*
- Comprehensive (Unlimited kms)
- Comprehensive ‘Limited Kilometres’ (Limited to 5,001-8,000 kms per year)
- Comprehensive ‘Low Kilometres’ (Limited to 0 – 5,000 kms per year)
Thanks for your details, please confirm you are not a robot and we'll get onto your quote request straight away. We'll make contacts directly to you via email.
CAPTCHA

Footer

CITY RURAL APP

Quick Links

CITY RURAL INSURANCE BROKERS PTY LTD

Australian Financial Services Licence No 237491
ABN: 52 074 444 296

We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with that.Ok Read more

Name	Date of Birth (dd/mm/yyy)	Years	Occupation

Step 1 of 5 - Personal information

Hi, let's get some details for your vehicle quote.

Tell us about Vehicle details.

Tell us more details about your vehicle.

Tell us about the drivers claims history

Have any of the above drivers ever had:

Additional options