Insurance Pre-Underwriting Questionnaire

If you are seeking personal insurance advice, please complete our web-based pre-underwriting insurance questionnaire.


This will help us gather information and flag any potential issues in determining the right cover for your circumstances in relation to:

  • Life cover

  • Total & permanent disablement (TPD) cover

  • Income protection cover

  • Trauma cover


Once the web-based form is complete, we will automatically receive a copy of your answers.


Albury Office

02 6067 2060


Suite 5, 592 Dean Street

Albury NSW 2640

PO Box 1025, Albury NSW 2640

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03 5831 9000

60 Railway Parade

Shepparton VIC 3630

PO Box 1357 Shepparton VIC 3630


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                   Shepparton Office

Chalmers Private Wealth Pty Ltd ACN 145 241 210 ATF CPW Unit Trust ABN 36 606 871 308

Authorised Representative of GWM Adviser Services Limited, ACN 002 071 749

An Australian Financial Services Licensee Registered office at 105 - 153 Miller Street North Sydney NSW 2060

Most of our beautiful photos are of the Goulburn Valley region,  taken by locals.