Step 1 of 7 - Contact details 14% Hi, let's get some details for your Landlord Insurance quoteContact name(Required) First Last Date of birth(Required) DD slash MM slash YYYY Over 55 & retired(Required) Yes No Address of Property(Required) Street Address Email(Required) Phone no(Required)Preferred method of contact(Required) Phone Email Tell us a bit about the propertyIs the property currently insured?(Required) Yes No Current InsurerExpiry Date DD slash MM slash YYYY Interested PartyPolicy Cover(Required)Select oneLandlords Listed eventsLandlords Accidental damageDo you have an ABN attached to the property?(Required) Yes No Is the property a long term or short term rental?(Required) Long term Short term How is your investment property managed?(Required) Name of real estate agent(Required)Is your property under 5 acres?(Required) Yes No How large is the propertyYear of construction(Required)If over 50 years old: Rewired(Required) Yes No Date DD slash MM slash YYYY If over 50 years old: Replumbed(Required) Yes No Date DD slash MM slash YYYY If over 50 years old: Reroofed(Required) Yes No Date DD slash MM slash YYYY Sum Insured detailsBuilding Replacement Value(Required)Contents Replacement Value(Required)Unspecified Items?(Required) Yes No limit any one item $Is the property currently tenanted(Required) Yes No What is the weekly Rent amount?(Required)Malicious damage by tenant(Required) Yes No Tenant default(Required) Yes No Insured property detailsDwelling type(Required) Is your property used for short term accommodation such as AirBnB?(Required) Yes No Built on(Required)Select OneConcreteFoundationsPolesNumber of bathrooms/ensuites(Required)Number of bedrooms(Required)Occupant type(Required)Select OneOwner occupiedLong term tenantShort term tenantConstruction(Required)Select OneDouble brickBrick veneerConcreteFibroMetalWoodOtherOther detailsRoof(Required)Select OneMetalTilesOtherOther detailsFloors(Required)Select OneWoodConcreteOtherOther detailsStoreys(Required)Select OneSingleDouble3 or moreFire protection(Required) Yes No Burglary ProtectionDeadlocks on all external doors(Required) Yes No Back to base alarm(Required) Yes No Keyed window locks on all windows(Required) Yes No Local alarm system(Required) Yes No Bars or grills on all accessible windows(Required) Yes No Is the property more than 10 acres(Required) Yes No Electronic surveillance key or card to common areas(Required) Yes No Is the property used for business use(Required) Yes No What type of businessLive in manage/caretaker(Required) Yes No Is the property occupied(Required) Yes No Safe or other system(Required) Yes No please describeWill the home be unoccupied more than 60 days(Required) Yes No Has any insurer in respect of any insurance policy held by you or your partner ever:Refused to renew/ cancelled or terminated a policy?(Required) Yes No Please provide details(Required)Refused a claim or required an increased premium under the policy?(Required) Yes No Please provide details(Required)Imposed special conditions under the policy?(Required) Yes No Please provide details(Required)Been convicted any criminal offence or been declared bankrupt?(Required) Yes No Please provide details(Required)Had any Claims in the past 5 years at any property?(Required) Yes No Please provide details(Required)eg date, description, insurer, and value of claim Now select your policy start date?Select your insurance policy start date?(Required) DD slash MM slash YYYY Any additional informationInformed ConsentWe are required by law to obtain your informed consent to earn commission prior to arranging your policies. Insurer - Australian Approved Type of Insurance Landlord Insurance Insurance Item - As per application form Range of Commission - 1% to 20% These commissions will be received Monthly or annually, depending on your payment preference for this policy. The services that we will provide are outlined in our terms of engagement document. This consent will apply to future renewals of these policies and is irrevocable. The parties may vary the consent by agreement. We will contact you to request a modification of your consent regarding the renewal or alteration of an insurance product if any of the following situations change: the product issuer changes; there is an additional monetary benefit as a result of the variation/endorsement (that is a benefit in addition to the commission payable at the rate and frequency as set out in the existing informed consent); the rate of the monetary benefit increases; or the frequency of any monetary benefit changes. I have read and understood that City Rural Insurance Brokers Pty Ltd earns commission as outlined in the above correspondence and confirm my consent to them receiving commission(Required) I AcceptCAPTCHANameThis field is for validation purposes and should be left unchanged.
