Home & Contents Insurance Quote

Contact Name
Email Address
Phone
Postcode
Preferred method of contact—Please choose an option—EmailPhone
Current Policy Expiry Date/Date Cover is required from
Date of Birth of the oldest insured
Address
Type of building —Please choose an option—HouseUnitDuplexTriplexFlatVillaTownhouseTerraced HouseSemi DetachedUnknownOther
Occupancy —Please choose an option—I Own & Live In The HomeI Own & Rent Out The Home To TenantsThe property Is Used As A Hostel Or Guest HouseIts my holiday homeIt's my home and It's currently unoccupiedI am a tenant in the homeOther
Is the home used for business use?YesNo
Is there a mortgage on the homeYesNo
Approx. What year was the construction of the home completed?—Please choose an option—2000-20151990-19991980-19891970-19791960-19691946-19591891-19131840-1890
How many bedrooms does the home have?
How many bathrooms does the home have?
Any Repairs Or Renovation Currently Being Done To The HomeYesNo
Has the home been built to cyclone standardsYesNoUnknown
What Is The Roof Made Of?—Please choose an option—AluminiumAsbestosCement TileCopperColor BondConcrete TileFibro SheetingIronShingleTerracotta / ClayThatchUnknown
What are The walls made of?—Please choose an option—Aluminium / ZinkAsbestosBrick VeneerCladdingConcreteDouble BrickFibro SheetingHandiplankIronMudbrickRammed EarthSandwich FoamSolid StoneworkStrawTimberVeneer StoneworkUnknown
Security on external doorsDeadlocksSecurity ScreenKeyed LocksRoller ShuttersNone
Security on external windowsKey LocksSecurity Screens / BarsRoller ShutterNone
Other Security24 Hour Monitored AlarmLocal AlarmFixed SafeGated CommunityCCTV Surveillance CamerasNone of the aboveOther
Building Sum Insured
Contents Sum Insured
Do you require any special valuables insurance? If so please provide further details of any items of jewellery, artwork, collections, sets or pairs valued over $10,000
How many consecutive years have you had insurance on this property and who is the existing Insurer?
If previously insured, who was the insurer?
In the last 5 years have you had any incidents that you were able to claim along with the details of any lodged claims: Yes/No
If yes please advise (What was the cause of the claim along with the total value paid by the insurer for each claim):
YesNo
If yes to the previous question, please confirm details
Any additional information you would like us to know about this policy?
To the best of your knowledge, having made appropriate enquiries, have you or any person with whom you are in partnership; or
(if the proposed insured in a company) have any of the company’s directors or officeholders*:
(*registered company)
a. Experienced any loss, damage, circumstance, liability or claim against you (whether insured or not) that could be covered by any of the policies now proposed?
b. Had an insurer decline any claim, cancel any insurance policy or impose special terms to any insurance policy?
c. Been charged with, pleaded guilty to or been convicted of any criminal offence or had any criminal offence proved?
d. Been associated in any way with any: Outlaw Motorcycle Gang (“OMG”) or any member of an OMG; organised crime gang (“OCG”) or any member of an OCG, or other illegal
association?
e. Been declared bankrupt?
f. Had a liquidator and/or receiver appointed and/or been placed into external administration?
g. Been a defendant in any civil court case?
If ‘Yes’ to any of the above, please provide full details YesNo
If yes to any of the previous questions, please provide details
I confirm the above information is true and correct