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Common Ground/Area Insurance Quote Online Form

 

Please complete the following information and submit this form to obtain an insurance quotation for common area in Body Corporate, Strata and Owner Corporation properties.

 

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 refer to the CGIB Financial Services Guide, Privacy Statement, General Advice Warning and Duty of Disclosure before completing this form.

INSURED'S - Details
 

  Body Corp No*

 

  Property Address*

 City/Town*

Post Code*

  Postal Address*

 City/Town*

Post Code*

 

PREMISES - Details
 

 Is the home Heritage Listed

 No of Swimming Pools/Spas

 Number of units*

 Buildings occupied as
 

 INSURANCE – Details
 

Public Liability Sum Insured

 

 PREVIOUS INSURANCE - Details - MUST COMPLETE ALL QUESTIONS
 
Is the has the property been Insured?*

  If "YES", Please provide the date your existing policy expirers* / /
  Please provide the name of the Insurer*  
   

  Have you ever suffered any losses or claims?

  Have you ever had any insurance cancelled or declined or special terms imposed?

 

  Have you ever been charged or convicted of any criminal offence or declared bankrupt?

 

  Are you aware of any matters not disclosed above that is relevant to the underwriter's consideration of this insurance?

 

 

 CONTACT – Details
 

First Name*

Surname*

  Phone No  

  Fax No

 

Email Address*

How did you find us*
 
 
 

*Mandatory Fields
 
 

Thanks for completing our online form.

We will endeavour to contact you with your insurance details soon.

Meanwhile, if you require any further assistance please feel free to contact us.

            

     

 

                                                                                     

 

 

We may need to contact you to obtain additional information to provide you with an insurance quotation.

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

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.

We recommend that you read the relevant Product Disclosure Statement when considering an insurance policy.