Warranty Information Form

You’re almost done. Complete your details below to secure your selected warranty.

This form allows us to finalise your policy and ensure everything is set up correctly from day one.

Once submitted, our team will review your details and send through the warranty documents, including coverage details, servicing requirements and how to make a claim.

Submit Your Details

Complete the form in under 2 minutes.

Prepare The Warranty

We’ll confirm the selected coverage for your vehicle.

Receive Confirmation

You’ll receive your warranty documents to sign via email and sms.

Your Warranty Details

Complete form so we can finalise your details

Warranty Information Form

Step 1 of 5

New Warranty Purchase Information

First Name(Required)

Surname(Required)

Email(Required)

Phone(Required)

Country Phone Number

Date of Birth

Company Name (if applicable)

ABN Number

Vehicle Purchase + Warranty

Is this vehicle currently owned or being purchased through a Dealer Sale, Private Sale or Auction?(Required)

Approximate date of purchase.

Approxmate date purchasing vehicle

Name of Car Dealership

Is the vehicle currently covered by an extended warranty?(Required)

Enter Warranty Expiry Date

Enter the expiry date of the manufacturer's or dealer statutory warranty. This will ensure there is no overlap with warranty coverages.

Do you have existing Roadside Assistance cover on this vehicle?(Required)

Is there a warranty cover you have chosen?

What warranty term do you require?

Submit Form To Purchase Warranty

Once you submit this form, our team will review the details and prepare your warranty documentation. The documents will then be emailed to you securely for electronic signing. Please check your inbox and junk folder, and follow the instructions in the email to review and complete your warranty documents.

Warranty Information

Submit Your Details

Prepare The Warranty

Receive Confirmation

Warranty Information Form

New Warranty Purchase Information

Address Details

Vehicle Details

Vehicle Identifiers

Vehicle Purchase + Warranty

Submit Form To Purchase Warranty

Warranty Information

You’re almost done. Complete your details below to secure your selected warranty.

Submit Your Details

Prepare The Warranty

Receive Confirmation

Your Warranty Details

Warranty Information Form

New Warranty Purchase Information

Address Details

Vehicle Details

Vehicle Identifiers

Vehicle Purchase + Warranty

Submit Form To Purchase Warranty

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