• General Details

  • What would you like us to do? (our Scope of Service)*
  • Are you:*
  • Are you the owner of the home?*
  • What date do you want cover effective from?*
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  • House Details

  • Before you start, here is a handy tool that could help you answer some of the questions needed to insure your home.

    • Cordell Sum Sure Calculator - by entering your address, provides an estimate based on detailed information about your home

    Once you've completed this (or if you have obtained a written rebuild cost estimate from a registered valuer, registered quantity surveyor, building practitioner holding an appropriate trade licence), please email us a copy to info@teamrussell.co.nz.

    It's important to set the sum insured at least as high as the written rebuild estimate and you will need a copy of this at claim time so keep it somewhere safe.

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  • Is this figure:*
  • How have you arrived at the sum insured?*

  • How is the home used majority of the time?*

  • Is there a written tenancy agreement of more than 90 days and a bond lodged with Tenancy Services? (may be required for some covers)*
  • Is this dedicated to casual letting only?*
  • Is this holiday home leased out via website/Book a Bach/other advertising?*
  • Do your immediate neighbours of this property occupy their homes full time?*
  • Would you describe your holiday home to be in a remote location?*
  • Rows
  • What type of security is there in the holiday home?*

  • Is your holiday home exposed to water inundation from any man made or natural water ways? (including: drains, creeks, rivers, beaches and similar)*
  • Has this home been fully re-wired since 1945?*
  • Does this home have any scrim walls?*
  • Has the Historic Places Trust placed any restrictions or preservation orders on this home?*
  • Rows
  • Is the home on a lifestyle block or farm?*
  • Is the size of the property*
  • Is the home on town water?*
  • What is the main type of home?*

  • Is this home part of a multi-unit or Body Corporate complex?*
  • Are each of the units under individual titles?*
  • If this is a new build, are there any units remaining to be built?*
  • Do all homes/units have road frontage?*
  • Is this home/unit or any other home/unit in this complex stacked vertically on top or under another?*
  • Are the walls between the connected homes/units (including those dividing roof cavity space) rated to a 2004 building compliance standard?*
  • Does this home/unit share a driveway with any other unit?*
  • Does this home have a monitored smoke or heat detector?*
  • Are there any entries against the certificate of title for this home?*
  • Is any form of business run from home?*
  • How many self-contained units are at this location?*

  • Will any of the units cost less than $300,000 to rebuild?*
  • Mortgage with*

  • Have you made any house (excluding contents) related insurance claims within the last 12 months?*

  • Contact Details

  • Date of Birth*
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  • Date of Birth*
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  • Moral Questions

    Have you or your family members, or any other person or entity to be covered by the insurance:

  • Declaration & Privacy Statement

  • Authorisation

  • Please click here to open our Scope of Service.

  • Is there anything else you would like assistance with? (we will contact you)
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