Landlords Residential Insurance Online Quote Form

Please complete the following information and submit this form to obtain a landlord insurance quotation for your residential tenanted property. Please click on the following if you require a quotation for a commercial tenanted property.

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

name of Insured/s*
Property Address* City/Town* Post Code*
Postal Address* City/Town* Post Code*
Occupied By*
Date of Birth* / / (Date of birth of oldest insured) Retired?

PREMISES - Details

Construction of Walls
Building type
Age of Building
Connected to Town Water?
Is the home Heritage Listed?
Security? Deadlocks on all external doors Security Intercom Window grills/bars on all windows
24 hr security person/concierge Fixed Safe 2 floors above ground
Key window locks on all windows Back to base alarm Local alarm
Security card/security pad access to floor
Security card/security pad access to floor
size of the home? (sqm)
Condition of Home?
Is the House: Re-wired Re-plumbed

INSURANCE Details

type Of Cover
Building Sum Insured
Contents Sum Insured
Annual Rent
Rent Default Required?
Malicious Damage by Tenant Required?
Domestic Workers Compensation Cover (Available in NSW, ACT, TAS and WA)

PREVIOUS INSURANCE - Details - MUST COMPLETE ALL QUESTIONS

Is the property Insured?*
If "YES", please provide the date your existing policy expires* / /
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.