HOUSE QUOTE
 
 
     
  Household Quote        
         
 

Please take a moment to complete our online form. Once received, a consultant will obtain quotes from our panel of insurers and contact you via e-mail and telephone. All information submitted will be kept private & confidential (see our Privacy Policy).

Feel free to download an inventory form from our Forms page and evaluate your entire contents worth. You may discover that you are under insured!

 
     
 
PERSONAL DETAILS
Title
 
First Name
 
Surname
 
Date of Birth
 
Tel No. (& area code)
 
Cell phone No.
 
Fax No.
 
E-mail Address
 
Residential Suburb
 
Area Postal Code
 

HOUSEHOLD DETAILS
Total sum insured value
(new for old)
 
Building cover?
  yes no
Value
 
Type of dwelling
  Free standing house (residential)
Townhouse
Free standing house (plot/farm)
Semi-detached house
Apartment
Thatched roof?
  yes no
Security
  B/Bars Security Gates
Electric Fence 24 hr security
Alarm + AR
Currently insured on contents?
  yes no
Any previous claims?
  yes no
If yes, when & what was the value?
 
Average number of days unoccupied per year
 
How many unrelated people live at specified address
 
Is the specified address a Hostel/Boarding house
  yes no
Wall construction
 
Roof construction
 
Neighbours all around
 
Date moved in
 

SPECIFIED ITEMS
e.g. cell phones, jewellery, bicycles, spec's, etc.
Item
Value
Item
Value

 
 
 
       
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