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?* Yes No Wall 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* Yes No When?* Is the property connected to town water* Yes No Is the property professionally managed* Yes No Has a formal rental contract been signed* Yes No Does the property have a lift / pool / spa for which you are responsible for (not common area items)* Yes No Currently unoccupied or expected to be unoccupied for more than 60 continuous days* Yes No Property SecurityAre deadlocks fitted to ALL external doors* Yes No Are key window locks fitted to all external ground floor windows* Yes No Alarm System* Yes No Alarm Type* Monitored To mobile phone To security company Cover DetailsBuilding Sum Insured ($)*Contents Sum Insured ($)*Loss of Rent (Annual/Weekly)* Do you want to cover rent default & theft by tenant* Yes No Liability* $10 Million $20 Million Excess* $250 $500 $1000 Have you or anyone to be insured been convicted of criminal offences during the past 5 years* Yes No Please advise* Has anyone been refused or cancelled or imposed any special conditions* Yes No Please 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* Yes No Please advise* PhoneThis field is for validation purposes and should be left unchanged. Δ