Residential Landlord Insurance

Contact Details

Contact Person Name *
Mailing Street Address *
Suburb *
Postcode *
State *
Email *
Telephone *


Landlord's Name (the legal name of the owner) *

The Property

Street Address *
Suburb *
Postcode *
State *
Start date of insurance cover/policy *
What year was the property built? *
Property Type *
Is the property *
Is the property National Trust classified? *
What is the construction of the walls? *
What is the construction of the roof? *
What is the construction of the floors? *
Is the property undergoing renovations, under construction or to be demolished? *
Is the building let/rented commercially? (eg Motel, Hotel, office, warehousing, etc) *
Will any part of the property be used for farming or earning an income other than residential rental *
Does the property have deadlocks on all external doors? *
Does the property have key locks on all external windows? *
Do you require insurance cover for the building structure? *
If Yes, what would it cost to rebuild the whole building? ($)
Has the landlord made any insurance claims? *
If Yes, please describe and provide the payout amount ($)
Has the landlord been convicted for drugs, dishonesty, arson, theft, fraud, or violence against any *
Has the landlord been refused insurance for home and/or contents or any other property owned? *
Has the landlord been bankrupt and not discharged for at least one year? *
Date of birth of the oldest insured *
Has a Residential Tenancy Application Form been completed? *
Is the property currently tenanted? *
If No, what is the estimated weekly rent? ($)
If Yes, what is the weekly rent? ($)
Has bond (4 weeks rent) been collected? *
Is the tenant's rent currently in arrears? *
Is the tenancy long term? (expected occupancy longer than 3 months) *
Have you been referred to us? *
If Yes, please provide the name of person or business
Please state the name of Interested Party (if any)