image


Home Insurance...

Calculating your Home or Contents sum insured...

Avoiding the risk of under-insurance is essential for every home owner. For your insurance to be effective, it needs to be both adequate and up to date.

Use our online calculators as a quick and easy way to help you estimate the cost of replacing your home and the contents inside it.

on-line calculators

For a competitive quote on a policy that rebuilds your home or replaces your contents, please complete and submit the form below.

 

NOTE: We cannot quote on the following risks :
  • Buildings being let or rented on a commercial basis eg. hotels/hostel/motels, boarding house
  • Buildings that are poorly constructed, badly maintained or subject to a demolition order
  • Buildings that are National Trust classified or heritage listed
  • Building that are shared by more than 3 unrelated persons
  • Buildings that are used for any business, trade or profession purposes, other than a home office
  • Unoccupied properties
Is this proposal for any of the above uninsurable risks?

Yes    No

If you have already spoken to someone in our office, please note their name here so that this form can be processed by them as they will know something about you already.

Brokers Name: 

Insured Names:
Date of birth (oldest):
Postal Address:
Address of property:
Email Address:
Telephone No:

 

Details of home...

Home Details:

Construction:

Occupied as

Does your property exceed 2 hectares?
Yes No

Approx. age of home
Approx. size of home

 

Details of Security...

Doors

Windows

Alarms

 

Sum Insured...

Buildings (include driveway, pools, sheds etc)

Contents (include carpets, drapes etc.)

 

Valuables Cover (extra premium payable)

for items insured away from the home
Unspecified Valuables

Total value of specified items
(Specified items will require valuations when cover is requested)

 

General information...

Have you or any of the persons to be insured made a claim on any insurer for loss or damage?
Yes No

Have you or anyone permanently residing with you, been convicted of arson, theft, fraud or violence against any person or property in the last 10 years?
Yes No

During the last 3 years, has any insurer refused to insure your home and/or contents?
Yes No

Have you been declared bankrupt and not been discharged for at least 1 year?
Yes No


Type the above number:



Declaration...
By submitting this Declaration, I/we declare and agree that:
  • I/we have the consent of all other persons covered by this policy to make this Declaration,
  • the contents of this Declaration are true and complete,
  • I/we have read the information concerning the duty of disclosure (immediately below this declaration) and other important notices;
  • I/we have answered every question fully and frankly, have been truthful and accurate in completing this application and have not withheld any information likely to affect the acceptance of this insurance;
  • I/we realise that if I/we have not complied with the duty of disclosure, any claims may not be met
  • if anything happens during the Period of Cover which alters any of the information provided, I/we will promptly inform the insurer;
Name of person making this declaration:

 

     

 

Important - Under the terms of the Financial Services Act we are required to supply a copy of our "Financial Services Guide" (FSG). You can view this guide by clicking on the following link - "Financial Services Guide (FSG)"