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Home Insurance Quote

Your Details

First Name Last Name Email Phone Date of Birth Is the Insured Retired? Yes No

Property Details

Address Suburb Postcode Walls If other, please specify Roof If other, please specify Floors If other, please specify Year Built Occupancy Type If other, please specify Has the property been re-wired/re-plumbed in the last 20 years? Yes No Year of re-wiring / re-plumbing Is the property connected to Town Water? Yes No Is the property on over 2 acres? Yes No If Yes, how many acres? Do you run a home office or business from your property? Yes No If YES, what is the nature of your business? Will your property be unoccupied for a period of over 60 consecutive days? Yes No If YES, how long for? Is the property well maintained, structurally sound and secured against wind and rain? Yes No If NO, please provide details? Is the building undergoing renovations or, under construction or, to be demolished Yes No If YES, please provide details? Is your property heritage listed? Yes No If YES, please provide details?

Property Security

Deadlocks Yes No Key Window Locks Yes No Alarm System None
Local
Monitored Mobile Phone
Back to base
Smoke Detectors None
Local Monitored
Monitored Mobile Phone
Back to base

Cover Details

Insurance Start Date Cover Type Building sum insured Contents sum insured Excess Do you wish to specify any valuable items on your policy?

Claims / Duty of Disclosure

Have you or anyone to be insured made any claims in the last 3 years? Yes No If YES, please state details Has any insurer refused or cancelled cover or imposed any special conditions Yes No Have you or anyone to be insured been convicted of criminal offences during the past 5 years Yes No Facts or circumstances that may effect the insurers decision Yes No Further Information / Notes

Note: We will email you a list of quotes from our panel of recommended insurers within 2 business days. If you require further information or cover please contact our office on 03 9598 8566.

Stewart Insurance Group Financial Services Guide