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Cyber Risks Quote
Name of entity
ABN
*
Practice address
*
State
Postcode
Describe the business
When did/will the practice commence trading?
Estimated gross revenue for the next 12 months?
Please provide details if you use a third party to host any data or business applications
E.g. cloud hosting of patient medical records
Do you have a Business Continuity Plan in place, which is tested annually, and confirms you can be back up and running within 24hrs?
Yes
No
Do you have antivirus software installed on your network and PC's and are firewalls in place and are these are regularly updated (at least quarterly)?
Yes
No
Are all mobile devices (such as laptops, tablets, smartphones and memory sticks) password protected?
Yes
No
Do you currently have cyber cover?
Yes
No
Insurer Name
Due Date
Total annual premium
Have you ever had a cyber claim, or had an incident occur which would have been covered by a cyber policy?
*
No
Yes
Number of claims
Total paid by insurer
Describe the claim/s
Your preferred name
Mobile number
*
Email address
*
Preferred contact method
*
Mobile
Email
Preferred time to contact
:
HH
MM
AM
PM
