Honan Landlord Insurance Application

Landlord Insurance Application
Important Notice

Privacy Collection Statement

We collect, use, disclose and handle personal information in accordance with the Australian Privacy Principles under the Privacy Act 1988 (Cth). You can access a copy of our Privacy Policy on our website at https://www.honan.com.au/privacy-policy or by contacting your Honan broker.

In accordance with our Privacy Policy, we collect, hold, use and disclose personal information to provide services to you such as insurance broking, claims management and risk management consultancy. In accordance with our Privacy Policy, we disclose both personal and business information to third parties and our related entities who are involved in the provision of our services. We may also provide information to the extent required by law or regulatory requirements.

If you do not provide the personal information that we request, we may not be able to provide our services to you and you may also be in breach of your duty not to make a misrepresentation (outlined below).

By completing this application form, you acknowledge and agree to the way that we collect, store, use and disclose personal information as set out in our Privacy Policy.

Your duty not to make a misrepresentation

By law, you have a duty to take reasonable care not to make a misrepresentation to the insurer before you enter into the relevant contract of insurance. This means you must answer the insurer’s questions with relevant and complete information, and you must not misrepresent any information that you give to the insurer, including where you provide information on someone else’s behalf.

If you fail to comply with your duty, the insurer may cancel your contract or be entitled to reduce the amount they pay you if you make a claim, or both. If your answers are fraudulent, the insurer may refuse to pay your claim and treat the contract as if it never existed.

If you do not understand a question, you are unsure how to answer or if anything is unclear, please call us on (03) 9947 4333.

By continuing, you confirm that you have read the information above about your duty not to make a misrepresentation as well as Honan’s Financial Services Guide, Honan’s Important Notices and you confirm you agree with Honan’s Privacy Policy. You can access copies of these documents on our website at https://www.honan.com.au/honan-documents-library or by contacting your Honan broker.

Change of Risk

You must tell us and the insurer immediately if there is a material change in the risk(s) insured under your relevant insurance policy, or otherwise any material changes to your business which may have a bearing on your insurance (for example, changes to the replacement cost/market value of the building and/or contents, changes to the occupancy of the property in particular where the property will be unoccupied for a period of time, or change to the security on the property).

If you are in doubt as to whether there has been a material change, please contact us.

When do you require this quote by?

DayMonthYear
Inception date*

DayMonthYear
Expiry date (if less than 12-months)

DayMonthYear
Are you currently insured?*

YesNo
Current insurer
Is this property professionally managed?*

YesNo
Agency name
Who is the key contact for this policy?*

InsuredProperty Manager
Property Manager name

First NameLast Name
Property Manager email
example@example.com
Property Manager phone number
Please enter a valid phone number.
Insured details
Insured person name*

First NameLast Name
Insured email
example@example.com
Insured phone number
Please enter a valid phone number.
Insured date of birth

DayMonthYear
Date
Insured postal address

Street Address

Street Address Line 2

SuburbState

Post Code
Please tick if you'd like to add an additional insured person.
Second insured person name

First NameLast Name
Second insured email
example@example.com
Second insured phone number
Please enter a valid phone number.

Important notices
Declaration

You acknowledge and agree that:
- You are authorised to act for and on behalf of all persons or entities who may be entitled to indemnity under any policy which may be issued pursuant to this application and you authorise this application on their/its behalf.
- You have made all necessary inquiries into the accuracy of the information and representations given in this application and that they are true and correct. Please advise Honan immediately if any changes need to be made.
- The insurer(s) may require further information not requested in this application to assess the risk.
- You understand that no insurance is in force until such time as the insurer has confirmed acceptance of the proposed insurance.
- You have read and understood the Important Notice on this application form.
Signature*

Clear
Email*
example@example.com
Name*

First NameLast Name
Should be Empty:

Landlord Insurance Application

Insured details

Property details

Duty of disclosure

Important notices