About
Services
Policy Information
Policy Wordings
Recycling
Quotes
Claims
Common Area Liability
Contact us
About
Services
Policy Information
Policy Wordings
Recycling
Quotes
Claims
Common Area Liability
Contact us
House & Contents Quote Form
Please enable JavaScript in your browser to complete this form.
Contact Details
Name
*
First
Last
Postal Address
*
Address Line 1
City
State / Province / Region
Postal Code
Contact Number
*
Email
*
Date of Birth
*
Risk Details
Address
*
Address Line 1
City
State / Province / Region
Postal Code
Interested Party/Mortgagee
Is the property
Expected to be Vacant for more than 60 Continuous days
Under construction, reconstruction or Renovation
In poor condition or poorly maintained
used as a hostel, bed & breakfast or guest house
Under any heritage listing/national trust listing or order
What is the size of the land in m2?
What kind of building is your home?
House
Unit
Apartment
Semi Detached
Townhouse
Other
If "other" Please advise below:
Number of Stories
Number of Bedrooms
Number of Bathrooms
Is the property part of a strata title?
Yes
No
If the property is a unit or apartment what level is it on?
Does the property have any of the following:
Pool
Lift
Hoist
Spa
Escalator
In what year was the property constructed?
*
If the property is over 50 years old, please advise when it was rewired & replumbed
What is the construction matrerial used for the external walls?
Brick Veneer
Double Brick
Weatherboard
Concrete
Mudbrick
Other
If "other", please advise
What material has been used for the roof?
Terracotta Tiles
Cement Tile
Colourbond
Steel/Iron etc
Slate
Other
If "other" please advise
What is the foundation of your home?
Concrete Slab
Timber floors on stumps
Other
If "other", please advise
Does the building contain any external cladding?
Yes
No
Does the building contain any expanded polystyrene (EPS) Sandwich Panel?
Yes
No
What Security Measures are in place?
Keyed Deadlocks on all external doors
Keyed Locks on all Windows
Local Alarm System
Monitored Alarm System
CCTV
Other
If "other", please advise
Who occupies the home?
Is this your main Residence?
Yes
No
What is the building Sum Insured you require?
What is the contents Sum Insured you require?
Do you require cover for Valuable Items? If so, please list each item and their indivdual value:
Do you require cover for your contents away from the home?
Yes
No
Do you require Cover for Accidental Loss or Damage
Yes
No
Who is your Current Insurer?
What is your current yearly premium?
What is your current policy excess?
What date is cover required to start from?
Disclosure Questions
Has any insurer in respect of any insurance policy ever:
*
Refused to renew/cancel or terminated a policy
Refused a claim or required an increased premium under a policy
Imposed special conditions under a policy
None of the Above
Have you been
*
Convicted of any criminal offence
Been declared Bankrupt
None of the Above
Have you had any claims in the last 5 years? If yes please provide details of the claim including the date of occurrence, a brief description and the cost of repair/replacement.
Submit
Secure online payment
View Details
Common area liability
View Details
Freight Insurance Services
View Details
Recyle
View Details
