Main Contact – Name(s)

Email

Phone Number

Postal Address

Insured Name 1 Name

Insured Name 2 Name

Insured Address

Building Age
Choose one0–5 years6–10 years11–20 years21-30 years31-40 years41-50 years51-60 years61-70 years71-80 years

External Wall Construction

Floor Construction

Roof Construction
[text* roof-construction placeholder "e.g. Metal, Colorbond, Tile, Asbestos]

Completed any renovations?

How Many Levels with ground being 1
1234

Bedrooms
123456+

Bathrooms
12345+

Occupancy
We are the LandlordIf you are not the landlord, this product may not suit your needs

Connected to Town Water
YesNo

Pool or Spa?
Choose oneYesNo

Security
Deadlocks on all external doorsSecurity Screens on all external doorsWindow Bars/ScreensLocal AlarmMonitored Alarm

Highly Combustible Material (e.g. EPS or ACP)
YesNoUnsure

Asbestos Present?
YesNoUnsure

Roller Doors
NoneInstalled before 2012, no bracingInstalled after 2012

Shed/s
NoneSmall garden shed, not built to cyclone standardLarge, built to cyclone standard

Bushfire Protection

Backflow Valve
YesNoUnsure

Is there a Property Manager and formal lease in place
YesNo

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Check out your buildings replacement cost


Building Replacement Value

The total cost to completely rebuild your home and outbuildings / pool etc

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Check out your contents replacement cost


Contents Replacement Value

If your property is furnished, we recommend you use the above calculator. If your property has floor coverings such as carpet/floating floor boards/vinyl, blinds/curtains, dishwasher or above ground pool, please put in the replacement cost for these items only

Loss of Rent

Rent Default
If your tenant leaves mid contract you may be able to claim for some lost rent
IncludeExclude

Previous Claims Declined?
Please SelectYesNoLet's Discuss

Ever been liable for any civil offence or pecuniary penalty?
Please SelectYesNoLet's Discuss

Ever been charged or convicted of a criminal offence?
Please SelectYesNoLet's Discuss

Ever had an insurance policy cancelled, declined or terms imposed?
Please SelectYesNoLet's Discuss

Aware of circumstances which could give rise to a claim?
Please SelectYesNoLet's Discuss

Anything to Declare under Duty of Disclosure?
Please SelectYesNoLet's Discuss

let's SIMPLIFY MY INSURANCE