Online enquiry

Are you the customer

Yes

Reason for enquiry

Type of enquiry

Did you know you can resolve this in My Resolution Life? Login or Register here.

You have a right to cancel your policy at any time. However, it’s also important to know that your policy cover is flexible, you have control over your policy and you can make adjustments. If the cost of your policy is a concern or if your circumstances have changed, you may be able to alter your policy so it aligns with your budget and current lifestyle. Learn more here. To explore your options further, please speak to your adviser. Your adviser can have a discussion with you about matching your cover to your needs.
We’re also here to help if you need more information about your insurance policy, or if you’d like to proceed with a policy alteration or cancellation. You can contact us on 0800 808 267.

Policy number

What is your relationship to the customer

Adviser ID/Code

Describe your relationship

Your name

First name

Last name

Your contact details

Email address

Phone number

Mobile number

Customer name

First name

Last name

Date of Birth

(DD/MM/YYYY)

What is your occupation title?

What industry do you work in?

How long have you been working in your current role?

Do you hold any professional/trade qualifications?

Please give details including the type of qualification and the name of the institution where the qualification was obtained

In your main occupation, what percentage of time do you spend performing the following types of duties. Total duties = 100%

Sedentary/Administrative

Supervising manual work

Light manual

Heavy manual

Home duties (please include details of dependants including ages and any other relevant information)

Other (including hazardous duties e.g. handling dangerous substances, working at heights/underground/offshore or refinery)

Do you have any other occupation or jobs?

Please provide details including job title, duties, number of hours per week worked and annual income derived from your other occupation or jobs

For proposed upgrades to AA rating only - please advise your annual income for the past 2 financial years

Do you work in the mining industry?

Soft rock or hard rock?

Do you work underground?

Are you involved with the use of explosives?

Customer address

Country

Address

Customer contact details

Email address

Contact number

Reason for enquiry

Request type

Due to security, we're not allowed to take credit card details in written form. Please call us on 0800 808 267 (+64 4 498 8000).

Request type

Use this option for changes to smoker status, occupation, etc…

Request type

For a quicker experience, you can download from Forms

Request type

For a quicker experience go to Make a Claim

Please enter your Claim number if known

Request type

Please enter details of area

Request type

Comments to support your enquiry

Please attach any supporting documents you find relevant

Attach document/s

Unlimited number of files can be uploaded to this field.
15 MB limit.
Allowed types: pdf, jpg, png.
15 MB limit per form.

File size limit is 15 MB limit.
PDF, PNG, JPG are the only file types that can be submitted.

CAPTCHA

For more details about privacy and the information we collect, please read our Privacy Collection Statement

Important information

Resolution Life Australasia Limited ABN 84 079 300 379, NZ Company No. 281363, AFSL No. 233671 (Resolution Life). The content on this website is for information only. The information is of a general nature and does not constitute financial advice or other professional advice. Before taking any action, you should always seek financial advice or other professional advice relevant to your personal circumstances. While care has been taken to supply information on this website that is accurate, no entity or person gives any warranty of reliability or accuracy, or accepts any responsibility arising in any way including from any error or omission.

A disclosure statement is available from your Adviser, on request and free of charge.

Online enquiry

Step 1: Your details

Step 2: Your enquiry

Important information