Willis Temby | Home & Contents Insurance

Needing Home & Contents Insurance?

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What is your name?

What is your e-mail address?

What is your contact number?

What date are you needing cover to start?

Who are the insured person(s) / entities to be listed on the policy?

What is the date of birth of the oldest proposed policy holder?

What is the address of the property requiring cover?

What is the occupancy of the property?

Do you earn income from the property?

Is there an Interested Party attached to the property, such as a bank? (please list if applicable)

Please select what type of cover is required.

Please select the level of cover required.

Which of the following options best describes the property?

What are the walls of the property constructed of?

What is the roof of the property constructed of?

What year was the property built? (approximate)

What is the quality of the build?

Is the property fitted with key-operated deadlocks on all external doors?

Are key operated locks or security screens / bars / grilles fitted to all external windows?

What kind of alarm system is installed? (please select)

Are you requiring cover for the building?

If yes, what is the replacement value of the building?

How much would you like to insure your contents for? (if applicable)

Do you have any contents worth more than $10,000? Please list them below

Do you have any valuables valued at more than $10,000? Please list them below

Who is you current Insurer?

Who is your current Insurance Broker?

How many Home (and/or Contents) Insurance claims have you had in the last five years?

Are you aware of any existing circumstances that may lead to a claim under a new policy?

Have you been charged with or convicted of any criminal offences in the past 10 years?

Have you had any insurance refused or cancelled or any special conditions imposed by an insurer?

Need to leave any additional information?

I have read and accept Willis Temby's Privacy Policy.

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Home & Contents Insurance.

Needing Home & Contents Insurance?