Landlords Insurance Quote Please complete and submit the below form, and our consultants will be in touch shortly. Full Name*Phone*Email* Risk DetailsSituation Address*Postcode*Building Type*-- please select --Free Standing HouseTownhouseTerraceApartment / Flat / UnitSemi DetachedDuplexNursing Home UnitIs the property heritage listed?*YesNoWall Construction*-- please select --Brick VeneerDouble BrickAluminiumHardiPlankWeatherboard / WoodMud BrickRoof Construction*-- please select --Steel / Aluminium / Colorbond / IronTiledSlateConcreteFloor Construction*-- please select --TimberConcreteOtherOther*Year Built*Occupancy Type*-- please select --Long Term RentalHoliday or Short TermNumber of Units*Rewired or re-plumbed*YesNoWhen?*Is the property connected to town water*YesNoIs the property professionally managed*YesNoHas a formal rental contract been signed*YesNoDoes the property have a lift / pool / spa for which you are responsible for (not common area items)*YesNoCurrently unoccupied or expected to be unoccupied for more than 60 continuous days*YesNoProperty SecurityAre deadlocks fitted to ALL external doors*YesNoAre key window locks fitted to all external ground floor windows*YesNoAlarm System*YesNoAlarm Type*MonitoredTo mobile phoneTo security companyCover DetailsBuilding Sum Insured ($)*Contents Sum Insured ($)*Loss of Rent (Annual/Weekly)*Do you want to cover rent default & theft by tenant*YesNoLiability*$10 Million$20 MillionExcess*$250$500$1000Have you or anyone to be insured been convicted of criminal offences during the past 5 years*YesNoPlease advise*Has anyone been refused or cancelled or imposed any special conditions*YesNoPlease advise*Are there facts or circumstances that you have not told us about that you know or should know that may affect the insurer's decision to insure you*YesNoPlease advise*CommentsThis field is for validation purposes and should be left unchanged.