Letter of Authority to Review & Quote

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

Call us directly
1800 979 899

Mail us
Shielded Insurance,
5-9, 51 Minchinton Street,
Caloundra QLD 4551

Preview of Authority Letter

Date: 28 May 2024

To whom it may concern,


Effective , I authorise the current and former insurers of to provide Shielded Insurance Brokers with all information (other than premium information) which they request regarding the following insurances and claims history in respect of those insurances over the past 5 years for :

The policy number(s) for Shielded Insurance Brokers to manage are as follows:

This authority is provided to enable Shielded Insurance Brokers to review and quote for our insurances. It does not appoint them as our insurance broker.

Whilst this letter of authority is not on any letterhead, I attest to its authenticity and intent in my capacity as of the company.

Yours faithfully,

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