Please leave this field empty.
We kindly ask you to confirm the following yes/no questions before we meet on farm.
In the last 14 days, have you been in contact with a person who has tested positive to COVID-19?
YesNo
In the last 14 days, have you and/or a close contact experienced any signs of symptoms of COVID-19?
Symptoms include but are not limited to: fever, cough, sore or scratchy throat, loss of smell or taste, fatigue and shortness of breath.
In the last 14 days, have you and/or a close contact travelled to a place which has been identified by your local state government as a COVID-19 hotspot or an area for increased testing?
In the last 14 days, have you and/or a close contact been tested for COVID-19 and are awaiting the result?
We kindly ask you to reschedule your farm appointment with us if you have answered ‘yes’ to any of these questions.
We thank you for your understanding and cooperation in helping us keeping our people and communities safe.
I consent to provide the information above, which I certify is accurate to the best of my knowledge, and I have read and agree to Achmea’s Privacy Policy
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To request a quote, please complete the following:
Do you have a farm related ABN?
Is your estimated farming annual turnover typically more than $100K?
Please describe your key farming activities*
Farm address (Not PO Box)*
Is there anything else you would like to tell us?
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