Home & Contents - Fact Find
Our Quick & Easy Questionnaire to Help us Understand your Situation
Email
*
example@example.com
Insured Name
*
What date would you like the quote to start?
*
-
Day
-
Month
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please confirm the below disclosure questions
*
Yes/No
If Yes, Please Advise in Detail
Have you ever had insurance cancelled, declined or refused?
Yes
No
Has any of the policy holders ever had a criminal conviction or banruptcy?
Yes
No
Date of Birth of Oldest Insured
*
-
Day
-
Month
Year
Date
Current Insurer
*
Aami
Allianz
Blue Zebra
Budget Direct
CGU
Chubb
Coles
Hollard
IAL
ING
NRMA
QBE
RACQ
Suncorp
Vero
Westpac
Woolworths
YOUI
Not Applicable - New Purchase
Other
Current Level of Cover
*
Accidental Damage
Defined Events
Don't know
Do you want Flood Cover
*
Yes
No
Option With & Without
Payment Preference
*
Annually
Monthly
About your property
*
Yes/No
If Yes, Please Advise in Detail
Is the property under construction, reconstruction or renovation?
Yes
No
Is the property in poor condition or poorly maintained?
Yes
No
Is the property currently unoccupied or expected to be unoccupied for more than 90 continuous days during the period of cover?
Yes
No
Is the property under any heritage listing/National Trust listing or order?
Yes
No
Is the property used as a hostel, bed and breakfast or guesthouse?
Yes
No
Is the property used for business purposes other than home office or surgery?
Yes
No
Is the property used for community housing or public housing?
Yes
No
Occupancy Type
*
Owner Occupied
Renting
Weekender/Holiday Home
Other
Building Type
*
Free Standing Home
Townhouse
Apartment/Unit/Flat
Semi Detached
Duplex/Triplex/Quadplex
Granny Flat
Terrace
Nursing Home Unit
Other
Jewellery & Valuables to be noted
Wall Construction
*
Aluminum
Brick Veneer
Concrete
Double Brick
Fibro / Asbestos
Hardiplank/Hardiflex
Steel
Sandwich foam / EPS
Stone
Vinyl Cladding
Weatherboard / Wood
Mud Brick
Sandwich Foam / EPS (Expanded Polystyrene)
Straw
Other
Roof Construction
*
Aluminum
Concrete
Fibro / Asbestos
Iron (Corrugated)
Slate
Tin / Steel / Colourbond
Tiles
Timber
Decrabond / Stone Chip / Pressed Metal Tiles
Thatch
Other
What year was the property first built?
*
Door Security (question applies to all external doors)
*
Deadlocks
Keycard Access
Deadlocks & Key Card Access
None
Other
Window Security (question applies to all external windows)
*
No Accessible Windows
Security Bars / Screens
Key Operated Locks
Security Bars / Screens and Key Operated Locks
None
Other
Alarm
*
No Alarm
Local
Monitored
Unmonitored
Other
Interested Party
*
Any additional information we may need
Upload your current insurance schedule if you would like us to provide a policy comparison (if available)
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