Url General Questions Estimated Wages for the Year Contact Person Postal address Full name of employer (Legal Entity) Business or trading name Registered for GST Yes No ABN Business Description Situation of Risk General Questions Estimated Wages for the Year Direct Employees Working Directors Workers of Contractors Working Contractors Family Members Have you entered into or do you intend to enter into any contractual arrangements whereby you agree to indemnify or hold harmless any Principal or any other person? Yes No Is this a new business? Yes No Have you engaged any employees in Western Australia to perform work outside Western Australia or overseas? Yes No Additional Information Mobile Phone Number Email address to send copy of quote to