Current Policy Review

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Motor Vehicle InsuranceHome InsuranceContents InsuranceBoat Insurance

Home insurance questions

fill in the information we require to request a home insurance quote below
Search home address below
Is the home currently insured?

YesNo
What is the primary use of the home?
What is the name of the person, trust or company to be insured?
What is the full replacement value of the home? ($ Including GST)

Contents insurance questions

fill in the information we require to request a contents insurance quote below
What are the total value ($) of the contents?
Do you have any individual items valued over $3000? List them below.
What address are the contents located?
What is your living situation at this address?
Does anyone use the contents?

YesNo
List the names of the users of the contents below.
Is there a monitored security system at this address?

YesNo
Are the contents currently insured?

YesNo
Which insurance company are your contents currently insured with?

Boat insurance questions

fill in the information we require to request a boat insurance quote below
1. What is the make, model, and year of your boat?
2. What type of engine does it have, and how much horsepower?
3. Is your boat currently sound and seaworthy?

YesNo
How would you best describe your boat?
What is the total sum insured?
Where is your boat usually kept?

Duty of Disclosure

Fill in the information below as per your duty of disclosure
Have you or any other person or entity to be covered by the insurance such as your spouse, de facto partner, family members, business partners, trustees and/or beneficial owners:
Ever had claim declined, insurance declined, cancelled, declared void, been refused renewal or had any terms or special conditions imposed?

YesNo
Subject to the Criminal Records (Clean Slate) Act 2004 ever had any criminal convictions, or in the last 7 years have any criminal prosecutions pending?

YesNo
Have you had any previous claims?

YesNo
Claims history details
By ticking the box below, I confirm that I have read and understood the Public disclosure statement provided to me, and agree to proceed on that basis.
Yes I have read and understood the disclosure statement and understand my obligations

Lastly, your contact information

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First Name*
Last Name*
Date of Birth*
Occupation*
Phone Number*

Area CodePhone Number
Email address*
example@example.com
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