By completing this form, you are authorising the management of all premium/debt collection and claims relating to the following employer to Allianz Australia Workers' Compensation (Victoria) Limited ACN 059 835 791. If you are transferring more than one business, please complete a separate form for each.
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Need help?
If you need help completing this form, or would like further information about transferring your policy, please telephone Allianz on (03) 9234 3285(03) 9234 3285 or 1800 240 3351800 240 335 (Victoria only). Transfers take effect on the first of each month. To ensure your policy is transferred at the earliest opportunity, your request must be lodged with Allianz before the 20th of the month.
Allianz Australia Workers’ Compensation (Victoria) Limited ACN 059 853 791
GPO Box 80, Melbourne VIC 3001. Telephone (03) 9234 3285 Email contactvicbdm@allianz.com.au
Any advice here does not take into account your individual objectives, financial situation or needs. Terms, conditions, limits and exclusions apply. Before making a decision about this insurance, please consider the relevant Product Disclosure Statement (PDS)/Policy Wording and Supplementary PDS (if applicable). Where applicable, the PDS/Policy Wording, Supplementary PDS and Target Market Determination (TMD) for this insurance are available on this website.
Allianz acknowledges Aboriginal and Torres Strait Islander peoples as the Traditional Custodians of the lands on which we live and work across Australia. We pay our respect to First Nations Elders past and present.
Allianz Australia Insurance Limited ABN 15 000 122 850 AFS Licence No. 234708 is the general insurer except in respect of life insurance, in which case Allianz Australia Life Insurance Limited ABN 27 076 033 782 AFS Licence No. 296559 is the insurer.
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