Letter Of Authority

Letter of Authority to Review & Quote

This application will give us authority to review and quote your insurance.

    Appointment Effective Date

    Please sign before submitting

    Letter of Authority to Review and Quote


    To Whom It May Concern:

    I authorise our current insurer(s) to provide VIM Cover (as an Authorised Representative of Oracle Group (Australia) Pty Ltd, AFSL No. 363610) with all information they request regarding our insurances and claims history in respect of the following insurance policies:

    Policy Number(s)

    Due Date






    This authorisation in no way constitutes the appointment of VIM Cover as our insurance broker.

    This authorisation is valid for the period 27/02/2024 to 27/03/2024


    Client Name:


















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