Chubb Onboarding and Due Diligence

Business Details

Directors / Sole Trader / Partners Details

Financial Details

Locations & Agents

Submit

Important Information

As part of this registration and onboarding process you will be asked to provide personal and sensitive information, namely details pertaining to any criminal history.

By continuing, you consent to Chubb Insurance Australia Limited (Chubb) collecting this information and using it to conduct due diligence checks as part of its onboarding assessment process to initiate your Agent Portal access; and providing any additional information Chubb may reasonably require to complete its due diligence or onboarding process.

If you are providing information about someone else, please make sure you have their consent to share this information with Chubb. You can find more information about Chubb's handling of personal information in our Privacy Policy.

Business Name*

Please enter your business name

Trading Name

This field is required

Registered Business Address*

Please enter your registered business address

1 Directors / Sole Trader / Partners Details

Full Name*

Please enter full name

Date of Birth

Please enter date of birth

Have you previously provided travel insurance?*

Yes No

1 Location

Store Name*

Please enter store name

Location*

Please enter location

Office Email Address*

Please enter a valid email address

Office Number*

Please enter office number

Agents At This Location

Agents 1

Full Name

This field is required

Date of Birth

Please enter date of birth

Email Address*

Please enter a valid email

Mobile Number

Please enter mobile number

Please review all information before submitting. Your completed form will be sent to travelagents.anz@chubb.com and our team will be in touch.

Chubb Advantage Travel Insurance is issued and underwritten by Chubb Insurance Australia Limited (ABN 23 001 642 020, AFSL No. 239687) (Chubb). Chubb has authorised certain Helloworld affiliated travel agencies (Agents) to distribute this product under specific terms. The Agents are not authorised to provide general or personal advice and may only provide factual information about this product. Chubb provides general advice only and does not take into account your objectives, financial situation or needs. Before deciding if this product is right for you, please read the Chubb Advantage Travel Insurance Combined Product Disclosure Statement (PDS) and Financial Services Guide (FSG). The Target Market Determination (TMD) for this product is available here. For more information, please refer to the Chubb’s Privacy Policy is available here. You can contact Chubb on 1800 978 289.