Letter of Appointment
This application will sign over your policies to be managed by Tank Insurance.
Signature
COMPANY
5 December 2025
ADDRESS
To whom it may concern,
Whilst this Letter of Appointment is not on any letterhead I attest to its authenticity and intent in my capacity as POSITION.
Effective DATE, I appoint Tank Insurance as our insurance broker to manage our insurance policy(s) listed below for COMPANY_NAME.
Client Name: NAME/COMPANY
Client Address: ADDRESS
Appointment of Tank Insurance Pty Ltd (Tank), ABN 83 667 323 579, CAR No 1305231, and any insurance broker of Tank as my insurance broker.
I have appointed the above named, Tank, Corporate Authorised Representative of Metrix Connect Pty Ltd, ABN 55 742 327 931, AFSL No 525491 (6 Akuna Drive, Williamstown VIC 3016) to handle the above insurances on our behalf.
I authorise my current insurer(s) to provide them with all documentation and information they require regarding my insurance(s) and claims history for these classes of insurance.
This appointment replaces any existing arrangement in place between us/me and any other insurance intermediary formally appointed to advise on or arrange or negotiate our/my insurance requirements as described above.
Please Note: This authority is valid until instructed by us to terminate the same.
Yours faithfully,
NAME
COMPANY