Skip to content
Home
Services
Funding
Insurance
Resources
Contact Us
Menu
Home
Services
Funding
Insurance
Resources
Contact Us
Survey Form
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Type of Insurance
Landlord
Home & Content Insurance
Full legal name of insured
*
Date of Birth
Postal Address
Insured Address
*
Start Date
*
Building Type
*
Free Standing house
Duplex
Semi Detached House
Apartment
Other
Is the property poorly maintained or in poor condition?
*
Yes
No
Building Type ( Other )
Will the property ever be unoccupied for more than 100 continuous days?
*
Yes
No
Is the home under Sale / construction / renovation?
*
Yes
No
Is the property heritage listed?
*
Yes
No
Is the building mortgaged or do you require an Interested Party to be noted?
*
Yes
No
Name of interested Party or mortgagee
Construction Year
Building Replacement value
Content Replacement value (note some of the items are classified as content in case of landlord insurance e.g. carpet, airconditioning, dishwasher, cooktop)
What is the construction type of the walls
*
AAC panel/Hebel/Concrete
Aluminium metal
Blockwork
Brick veneer
Double brick
Fibrocement (asbestos)
Fibrocement (no asbestos)
Other Panel wall system (Not Sandwich Foam/EPS)
Rammed earth/straw/mudbrick
Rendered masonry
Sandwich foam/ EPS (expanded polystyrene)
Sheet cladding
Stonework
Stonework veneer
Vinyl cladding
Weatherboard - Artificial
Weatherboard - Timber
Other
What is the roof type of the home?
*
Colour bond
Concrete tile
Fibrocement asbestos
Fibrocement no asbestos
Metal covering
Sandwich foam
EPS (expanded polystyrene Slate)
Terracotta
Timber
Shingles
Other
What is the construction type of the walls (Other)
What is the roof type of the home? (Other)
Windows security
*
Key operated locks Security screens
bar No accessible windows
None
Door security
*
Key operated dead locks
bolts Security cards
fob
None
Any other security/risk mitigation at the property?
*
CCTV
Hardwired smoke alarms
Motion sensors
Safe (fixed)
Safe (unfixed)
Sensor lights
Sprinklers
Water leak detection System
None
Is any business conducted from the property
*
No
Work from home (as an employee)
Home office (primary business location is off-site)
Home office (primary business location)
Run business from home (primary business location is off-site)
Run business from home (primary business location)
In the last 5 years has any insured had an insurance policy declined or cancelled by the insurer?
*
Yes
No
In the last 5 years has any insured had a claim declined?
*
Yes
No
In the last 5 years has any insured had any criminal conviction relating to fraud, theft, dishonesty, arson, or malicious damage?
*
Yes
No
Has the insured made any landlords buildings or contents claims in the last 3 years? (if yes, please provide details)
*
Yes
No
Does the insured currently have insurance for this property?
*
Yes
No
Name of Insurer
How is the property managed?
Real Estate Agent
Self managed
Name of Real estate agent (If any)
Weekly Rental
Lease type
short term (less than 3 months)
long term (standard residential)
Airbnb or similar
Rental loss cover required?
Yes
No
Rental default cover required?
Yes
No
Damage by tenant cover required?
Yes
No
Additional information
I/We agree to the Terms and Conditions
*
I/We agree to the
Terms and Conditions
Submit
Request a quote
General insurance
Funding
Send Message
