Home Insurance Quote
Customer details
DealID
Insurance Type
Customer Type
Company name
Name
First Name
Last Name
Gender
Email
example@example.com
Date of birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
Please enter a valid phone number.
Format: 0400 000 000.
Autocompleted Address
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Property details
Policy start date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Which best describes you
At any time during the period of insurance will all or any part of the property be used for short term rental or holiday letting? This includes but is not limited to rental through an online booking platform such as Airbnb or Stayz.
How do you use this property?
Do you currently hold a morgrage on this property
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Property details
Building Type
Foundation Type
External Walls
Roof Type
Quality of finishings
Ducted Aircon/Heating
Flooring Type
Number of Bedrooms
Number of Bathrooms
Number of Carapace's
Construction Year
Would you consider the main living area to have an open floor plan
Home Elevation
Body Corporate/Strata Title
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Is the property in good condition, well maintained and legally occupied?
Is the property currently unoccupied and will be for more than 60 continuous days?
is the property currently up for sale?
Is the property under construction, reconstruction, renovation or subject to demolition?
Do you own a business and run it from home?
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In the last 3 years have you or anyone to be insured had any insurance declined or cancelled, renewal declined, special terms imposed or claim refused
In the last three years have you or anyone insured under this policy committed a criminal act in relation to: fraud, theft, burglary, drugs, arson or ciminal, malicious, willfiul damage
In the last 5 years, have you or anyone you live with made any home buildings or contents insurance claims?
List claims
*
Should be Empty: