CGIB  Landlords Residential Insurance Online Quote Form
  • CGIB Landlords Residential Insurance Online Quote Form

  • Please complete the following information and submit this form to obtain a landlord insurance quotation for your residential tenanted property.

    Please click on the following if you require a quotation for a commercial tenanted property.

    All information you provide must be correct, true, and accurate as incorrect or misleading information may alter our quote and jeopardise cover if you proceed with a policy.

    Please ensure you read the CGIB Customer Information Page before filling out this form. This includes essential documents such as our Financial Services Guide, General Advice Warning, Privacy Statement, and Duty of Disclosure.

    If you are having any issues completing this form please contact our office on: 1300 764 244 or 03 8841 4200 and one of our Team will be able to assist you.

  • INSURED'S Details

  • Date Of Birth *
     / /
  • PREMISES Details

  • Building Type*
  • Construction Material of the Walls?*
  • Construction Material of the Roof?*
  • What best describes security on the property's externally accessible doors?*
  • What best describes security on the property's externally accessible windows?*
  • Alarm security*
  • Premises Connected to Town Water?*
  • Does the building have cladding?*
  • Rows
  • INSURANCE Details

  • PREVIOUS INSURANCE Details

  • Please provide the date your existing policy expires *
     - -
  • Duty of Disclosure

    Have you or any partner/s or director/s of the business
  • Ever had any insurance cancelled or declined or special terms imposed?*
  • Ever been declared bankrupt?*
  • Been involved in a company or business which became insolvent or subject to any form of insolvency or voluntary administration (e.g liquidation or receivership)?*
  • Been convicted of any criminal offence within the past 5 years (other than minor traffic convictions)?*
  • Been liable for a civil offence or pecuniary penalty (exceeding $5,000)*
  • Aware of any matters not disclosed above that is relevant to the underwriters consideration of this insurance?*
  • Claims Experience

  • CONTACT Details

  • Format: 0000 000 000.
  • IMPORTANT INFO

  • By proceeding you agree to the Terms of Use of this site and that you have read and understood this Important Information about answering questions that we ask of you.
    We will handle your personal information in accordance with our Privacy Policy.

    Completion of this form does not put an insurance policy/cover in place - you will need to contact us to arrange insurance cover.

  • Other Insurance Needs

  • Do you require any further information on other insurances?
  • * Mandatory Fields


    Thank you for completing our online form.
    We will endevour to contact you with your insurance details soon.

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