Qld CTP At Fault Driver Protection

Important information

At Fault Driver Protection (AFDP) applies to Allianz QLD CTP customers aged 25 years or older, driving a class 1 or 6 vehicle, that is currently registered with the Department of Transport and Main Roads (DTMR). After submitting this form, your AFDP will take effect the next time you renew your vehicle registration with the DTMR and Allianz is your CTP insurer.

By proceeding I agree to receive the terms and conditions of the AFDP set out in the Policy Document on the Allianz website.

I have read and understood the above important information. Yes No

* Registration number:

Vehicle type:

* Email address:

Allianz Australia

CTP Insurance

QLD CTP At Fault Driver Protection Registration

Important information
At Fault Driver Protection (AFDP) applies to Allianz QLD CTP customers aged 25 years or older, driving a class 1 or 6 vehicle, that is currently registered with the Department of Transport and Main Roads (DTMR). After submitting this form, your AFDP will take effect the next time you renew your vehicle registration with the DTMR and Allianz is your CTP insurer. By proceeding I agree to receive the terms and conditions of the AFDP set out in the Policy Document on the Allianz website. I have read and understood the above important information. Yes No
Details
* Registration number:
Vehicle type:
* Email address: