• Commercial Property

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  • Have you been declined insurance in the past 12 months?*
  • Have you had criminal convictions in the past 3 years?*
  • Have you had any claims in the last 5 years for the same type of insurance?*
  • Policy Start Date *
     - -
    2 digit day, 2 digit month, 4 digit year
  • Is the property currently insured?*

  • Property Details

  • Are you owner an owner occupier?*
  • Is the property and business owned under the same entity name?
  • How many tenants are there?*
  • Flood Cover?*
  • Is the property heritage listed?*
  • Is the property fully occupied?*
  • Does your property contain EPS?*
  • Fire Protection Details*
  • Security Details*

  • Cover Details

  • Would you like cover for Business Interruption (Loss of rent)*
  • Indemnity Period
  • Glass*
  • Public Liability*
  • Equipment Breakdown*
  • Do you require cover for Air-Con?*
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