Record of Advice and Needs Analysis (Non-Life Insurance — Personal and Commercial Lines) Instructions

Provide the entry indicating that Accident and Health cover is required on a personal basis.

Check this box if the Accident and Health cover being requested or discussed is for commercial (business) purposes.

Enter a confirmation that the advisor discussed and explained the benefits and disadvantages to you.

Enter a confirmation that the advisor discussed and explained the excesses to you.

Enter a confirmation that the advisor discussed and explained the cancellation procedure to you.

Enter a confirmation that the advisor discussed and explained the exclusions to you.

Enter a confirmation that the advisor discussed and explained the insured amounts to you.

Enter a confirmation that the advisor discussed and explained the items covered to you.

Enter a confirmation that the advisor discussed and explained the principle of average to you.

Enter a confirmation that the advisor discussed and explained how insured amounts are calculated to you.

Enter a confirmation that the advisor discussed and explained the claims procedure to you.

Enter whether the Agriculture insurance cover is for Personal or Commercial lines.

Check this box if the agriculture insurance cover required is for commercial use rather than personal use.

Enter the full name of the client who is acknowledging the service.

Provide the client's signature (or the signature of a duly authorised person signing on the client’s behalf) to acknowledge the service.

Enter the full name of the customer to whom this record of advice applies.

Enter the insurance policy number associated with this customer and record of advice.

Enter the day of the month on which the declaration was signed.

Enter the month in which the declaration was signed.

Enter the year in which the declaration was signed.

Enter whether the required Engineering insurance cover is for personal use or commercial use.

Check this box if the Engineering insurance need/cover option identified is for commercial (business) purposes.

Enter whether the Guarantee cover is for Personal or Commercial lines.

Check this box if the Guarantee cover required/selected is for commercial lines (not personal).

Enter whether the Legal Expenses cover selected is for Personal or Commercial.

Check this box if the Legal Expenses cover being identified/selected is for commercial (business) use rather than personal use.

Enter whether the liability cover required is personal or commercial.

Check this box if the liability cover being identified is for commercial lines (business use) rather than personal lines.

Enter whether the marine insurance cover is for personal or commercial use.

Check this box if the customer requires Marine insurance cover for commercial use.

Enter whether the Miscellaneous insurance cover is for Personal or Commercial use.

Check this box if the Miscellaneous insurance cover being identified is for commercial (business) purposes rather than personal use.

Enter whether the motor insurance cover is for personal use or commercial use.

Check this box if the motor insurance need/cover being identified is for commercial use rather than personal use.

Enter the client’s signature to confirm they are not accepting the advice or are proceeding with a different transaction. Fill only if 'Non-acceptance Election Option 1', 'Non-acceptance Election Option 2' is 'Yes' (any).

Enter a value to indicate the client elects not to follow the recommendations of the representative.

Enter a value to indicate the client elects to conclude a transaction that differs from the recommendation provided.

Enter the supervisor’s overall recommendations or notes regarding the representative’s advice provided under supervision.

Enter additional recommendation details or notes to continue the supervisor’s comments.

Enter additional recommendation details or notes to continue the supervisor’s comments.

Enter additional recommendation details or notes to continue the supervisor’s comments.

Enter additional recommendation details or notes to continue the supervisor’s comments.

Enter additional recommendation details or notes to continue the supervisor’s comments.

Enter additional recommendation details or notes to continue the supervisor’s comments.

Enter the date the supervisor completed and signed the office-use-only evaluation.

Provide the supervisor’s signature to confirm the office-use-only evaluation.

Enter the total insurance premium amount payable for the policy.

Enter how often the premium is paid (e.g., monthly, quarterly, annually).

Enter the commission amount charged or earned in relation to this policy.

Enter the total amount of any additional fees charged besides the premium and commission.

Enter whether the property insurance cover is for personal use or commercial use.

Check this box if the Property insurance cover being discussed/selected is for commercial use (commercial lines) rather than personal use.

Describe the reasons why the existing policy is being replaced with the recommended new policy.

Enter the reference identifier for the Record of Advice being acknowledged.

Enter the cover amendments applicable to the existing policy being replaced.

Enter the cover amendments applicable to the recommended new replacement policy.

Enter the excess amounts and excess terms that apply under the existing policy.

Enter the excess amounts and excess terms that will apply under the recommended new policy.

Enter the exclusions that apply to the existing policy being replaced.

Enter the exclusions that will apply to the recommended new policy.

Enter the total fees and charges applicable to the existing policy.

Enter the total fees and charges applicable to the recommended new policy.

Enter the name of the insurance provider for the existing policy being replaced.

Enter the name of the insurance provider for the recommended new policy.

Enter the policy number for the customer’s existing policy being replaced.

Enter the policy number for the recommended new policy that will replace the existing policy.

Enter the premium amount for the existing policy being replaced.

Enter the premium amount for the recommended new policy.

Enter the special terms and conditions that apply to the existing policy being replaced.

Enter the special terms and conditions that will apply to the recommended new policy.

Enter the termination date of the existing policy and the inception (start) date for the replacement coverage period.

Enter the termination date (if applicable) and the inception (start) date for the recommended new policy coverage period.

Enter the client's full name as the person acknowledging and signing the declaration.

Enter the representative's full name (and note if they are working under supervision).

Provide the representative's signature to confirm the declaration.

Specify the selected cover type for Transport (Personal or Commercial).

Check this box if the Transport insurance cover being selected is for commercial purposes.

Enter whether the travel insurance cover required is for personal or commercial purposes.

Check this box if the Travel cover selected is for commercial use/business purposes.

Check this box if you understand the costs associated with the financial product.

Check this box if you do not understand the costs associated with the financial product.

Check this box if the customer understands the various options available to fulfil their needs.

Check this box if the customer does not understand the various options available to fulfil their needs.

Check this box if you understand the features and benefits of the product.

Check this box if you do not understand the features and benefits of the product.