Email General Information Cover Type Property Details Contact Person Named Insured Postal address Date of Birth Have you ever had insurance declined or special conditions imposed? Yes No Have you ever been convicted of a crime or declared bankrupt? Yes No Have you had any claims in the last 5 years? Yes No General Information Type of Cover Property Details Cover Type Accidental Damage Defined Events Is the situation of risk the same as postal address? Yes No Building Type Single Storey House Multi Storey House Townhouse Unit Year Built Has your home been rewired in the last 40 years Yes No Does property exceed 2 hectares? Yes No Wall Construction Brick Brick Veneer Fibro Weatherboard Timber/Wood Roof Construction Tile Iron Cement Sheet Slate Other Floor Construction Cement Concrete Other Occupancy Owner Occupied Renting / Rented Unoccupied Family Member Body Corporate Holiday Home Multiple Occupancy Under Construction Building Sum Insured General Information Type of Cover Property Details Property Details Unspecified Contents Specified Contents Personal Property - Unspecified Personal Property - Specified Security Options Deadlocks on all doors Keylocks on all windows Back to Base Alarm Local Alarm Additional Information Send a copy to email address
