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*
If more Than 10, please provide Details
Buildings occupied as

INSURANCE Details

Public Liability Sum Insured

PREVIOUS INSURANCE - Details - MUST COMPLETE ALL QUESTIONS

Is the property 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?

If yes to any of the above, please provide details

CONTACT Details

First name*
Surname*
Phone No
Fax No
Email Address*
How did you find us*
If other, please provide details

Comments

Mandatory Fields
Thank you for completing our online form.
We will endevour to contact you with your insurance details soon.
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.