SWL Notification of change of address / New Risk Address

Notification of change of address / New Risk Address
Full Name & Surname:
E-mail Address:
New Risk Address
Situation of your risk address / building:
What area do you reside in? Please choose from the options below:
Are there any of the following within 1km radius
Is the residence situated close to water
Indicate what the source of water is:
If Yes, how far is the water source from your residence in km?
From which date have you lived at the residence:
Construction of Risk Address:
What is the roof construction?
If "Other" roof construction was, please provide details:
If Thatch, is an SABS-approved ligtning conductor installed
Are the main walls constructed of
If "Other" wall construction was selected, please provide details:
Is there a Thatch Lapa / Thatch Cottage / Plastic- or Wooden Wendy/Structure situated on the premises?
If "Yes" Please speficy all structures:
How far is the Thatch Lapa / Thatch Cottage / Plastic- or Wooden Wendy/Structure situated from the nearest building?
Occupation Of Residence / Building
Will the property be left unoccupied for more than 7 consecutive days in the fisrt 30 days of cover?
Will the residence be left unoccupied for more than a total of 60 consecutive days per year
Will the residence be left unoccupied during working hours
Is the residence a holiday home
Will the residence be rented or let out to third parties?
Is a business operated from the private home or flatlet?
If a business is operated from the private home or flatlet on the property, please provide more details:
Security

(Residences occupied as communes are not acceptable)
What type of home do you have?
Are all OPENING windows burglar-barred?
Are all FIXED windows burglar-barred?
Are EXTERNAL access doors fitted with security gates
Are external sliding doors fitted with security gates or frame-mounted key-operated locking bolts
Does any outbuilding or garage adjoining the residence have an inter leading door
If Yes, is this interleading door protected by an alarm or security gate
Is the perimeter of your property walled/fenced with a wall or steel fence of at least 1.8m in height
Is there an electric fence surrounding the full or partial perimeter?
Is the residence protected with an approved alarm system linked to a 24-hour control room with armed response?
If "Yes" Confirm the Security Company's Name and Remember to provide us with Armed Response Certificate
Are there full-time security guards on your property
Geyser Information

Please complete your home's geyser information below:
How many Electrical Geysers do you have?
How many Solar Geysers do you have?
How many Gas Geysers do you have?
How many Heatpumps do you have?
Do you have a wood burning Geyser / Water Heater (i.e. Water-Donkey)
Solar Energy
Do you have any solar or alternative energy installed?
If yes, please provide us with the following information such as the current replacement values of each item, the amount of solar panels, batteries and types, inverter details etc. OR provide us with the full invoice details. IMPORTANT NOTE: Our office must be provided by all accompanying CoC's for solar/alternative energy installations.
Please select from the following which is applicable to your residence:
Additional Information
SIGNATURE OF CLIENT
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
SWL FINANCIAL SERVICES – Licensed Financial Services Provider in terms of Section 8 of the Financial Advisory and Intermediary Services Act, 2002. (Act No 37 OF 2002) (Licence Number 34914)
Should be Empty:

Notification of change of address / New Risk Address

Situation of your risk address / building:

Construction of Risk Address:

Occupation Of Residence / Building

Security

Geyser Information

Solar Energy

Additional Information