ARGIS Farm Extra Quote Request
Step 01. Step 02. Step 03.
Brokerage/Authorised Representative Details
Brokerage/Authorised Representative
Your Email Address
Your Phone Number
To receive a quote from ARGIS, please complete all required sections prior to submitting the quote request.
You are able to switch between pages of the form without losing data, however you will not be able to save incomplete forms.
At the end of the quote process a copy of the quote request form will be generated to the email you've entered.
Section 1 - Insurer Details
Insured Name
Current Insurer
Due Date
Number of Situations
Situation Address 1 Postcode
Farm Size (in Hectares) HA
Farm Type
Additional Details of Occupation
Additional Notes

If the quote request form is completed no proposal form will be required in the event that your quote is successful,
just a simple signed declaration form. Download the form below:
Declaration Form
Please read the following Privacy Information

SGUAS Pty Ltd t/as ARGIS Insurance ('ARGIS') (ABN 15 096 726 895, AFSL 234437).
ARGIS arranges policies for and on behalf of Great Lakes Reinsurance (UK) SE (ARBN 127 740 532 | ABN 18 964 580 576 | AFSL 318603)
trading as Great Lakes Australia ('Great Lakes Australia').