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Allianz Connection Request

An easy way to request a connection to Allianz on Sunrise Exchange®

Fill in the information below to request a connection to an Allianz product on Sunrise Exchange®

What is your Sunrise ID? (Please contact support@ebix.com.au if confirmation is required)

Business/Company name?

What is your company address?

What is your company ABN?

Are you an AR of another company? If so, what is the main company name?

Primary contact?

Primary contact email address?

What Broking System do you use?

Please indicate which product from Allianz you wish to transact business with on Sunrise Exchange®

Business Pack (AALACOM) Commercial Motor (AALAVSD) Home Insurance (AALHOP) Landlord Insurance (AALLLP) Marine Carriers Insurance (AALCIP) Marine Transit and Cargo (AALMRN) Motor Trades Pack (AALATSP) Motor Vehicle Insurance (AALCMP) Office Pack (AALAOFF) Professional Liability (AALPLP) Workers Comp Underwritten (AALWCU)

Only select the following products if you operate out of Northern Territory (NT)

TIO Business Pack (TIOACOM) TIO Commercial Motor (TIOAVSD) TIO Home (TIOCMP) TIO Landlord (TIOLLP) TIO Motor (TIOCMP) TIO Motor Trades Pack (TIOAMPK) TIO Office Pack (TIOAOFF) TIO Trades Pack (TIOATSP)

Have you discussed this connection request with the Insurer?

If yes, who did you speak to?

Any other information Ebix should know?

Phone

1800 807 139

Email

support@ebix.com.au

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+61 2 8467 3000

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