Get a Quote

    Your Details

    Your Name:*:
    Your Phone Number*:
    Your Email Address*:
    Which of these best describes you:

    About Your Building

    Strata Plan No:
    Address Of Premises:
    Period Of Insurance:
    From: To:
    Previous Insurer:
    Policy Number:
    Type: ResidentialCommercialIndustrial
    No Of Lots:
    No Of Buildings:
    Age Of Building/S:
    No Of Floors:
    Construction Of Floors:
    Construction Of Walls:
    Construction Of Roof:
    Pool: YesNo
    Elevator: YesNo
    Building Sum Insured $:
    Contents Insurance $:
    Loss Of Rent $:
    Public Liability $:
    Office Bearers $:
    Personal Accident $:
    Machinery Breakdown $:
    Other Insurances - Detail:
    Workers Comp. Wage Est:
    Premises Unoccupied: YesNo
    No Of Units Vacant:

    Other details pertaining to proposal

    Public liability claims history - If known

    5 year claims history - If known



    Almost Done...

    How did you hear about us?
    Other comments: