Get a Motorcycle Insurance Quote To obtain a quote simply fill out our easy online application below or call 1300 780 446 to speak with our friendly team. Applicant Information Title Title* Mr Mrs Ms Miss Master Dr Prof First Name Last Name DOB* Email Address Mobile Street Address 1 (PO Boxes not accepted) Street Address 2 (PO Boxes not accepted) Suburb State State* NSW QLD SA TAS VIC WA ACT Post Code Asset Information Manufacturer Model Year Sum Insured Value Will the motorcycle be registered? Will the motorcycle be registered?* Yes No Insurance Details Current No Claim Bonus rating Current No Claim Bonus rating* 1 2 3 4 5 Motorcycle Licence Number Years Held Storage Method Storage Method* Garage Street Carport Has the motorcycle been modified in any way from the manufacturers original specifications? Has the motorcycle been modified in any way from the manufacturers original specifications?* Yes No Have you in the last 5 years had any insurance refused or cancelled? Have you in the last 5 years had any insurance refused or cancelled?* Yes No Have you in the last 5 years suffered any motorcycle or theft insurance claim? Have you in the last 5 years suffered any motorcycle or theft insurance claim?* Yes No Have you in the last 5 years been charged or convicted of any offence Have you in the last 5 years been charged or convicted of any offence* Yes No Have you in the last 5 years ever had your motorcycle or vehicle licence suspended or revoked for any reason? Have you in the last 5 years ever had your motorcycle or vehicle licence suspended or revoked for any reason?* Yes No Insurance issued by HDI Global Specialty SE – Australian Branch ABN 58 129 395 544, AFSL No. 458776 acting through its agent Yamaha Motor Insurance Australia Pty. Ltd. ABN 48 603 882 980, AFSL 497198. Any advice provided is of a general nature only and does not take into account your particular objectives, financial situations or needs. Please read the Product Disclosure Statements (PDS) before You make any decisions regarding mi-bike Insurance product. If You have any queries that are not covered in the PDS, please contact your local mi-bike dealer. YMI acts under a binder authority from Inter Hannover as the Insurer that allows YMI to arrange insurance policies and to handle and settle claims made upon it subject to the terms of the binder authority. In doing so YMI acts for Inter Hannover and not you. YMI’s AFSL authorises it to provide these services. YMI’s contact details are: Yamaha Motor Insurance Australia Pty. Ltd. 489-493 Victoria Street, Wetherill Park NSW 2164, Locked Bag 79, Wetherill Park NSW 2164. Telephone: 1300 794 454 Email: customerservice@ymia.com.au mi-bike Telephone: 1300 780 446 Email: customerservice@mi-bike.com.au
