Residential Strata Insurance & Body Corporate Insurance

Policy details

Policy period

Form*

To*

Who are you insured with*

Insured details

Insured name*

First Last

Email*

Phone

Contact name*

Address

Street Address Address Line 2 City State Postcode Country

CLAIMS HISTORY

Claims details (Within past 5 years)

Have you during the past 5 years had any insurance declined or any underwriting conditions or excesses imposed?

Yes
No

Have you had any claims in the past 5 years?*

Yes
No

SITUATION

Situation Adreess*

Street Address Address Line 2 City State Postcode Country

Building Information

Type of title*

Type of building*

Year built*

Walls*

Roof*

Floor*

Please enter the number of

Units*

Lifts*

Gyms*

Pools*

Tennis Courts*

Storeys*

Do you require cover for floating floors?*

Yes
No

Does the property have any of the following: jetties, marinas, pontoons, lakes, water features, playgrounds etc?*

Yes
No

Building Usage

What percentage of total floor space does the property contain business activities?*

What percentage of the property is occupied as Holiday Letting?*

Does the property have a full time on site manager/care taker?*

Yes
No

RISKS

Coverage details

Building sum insured*

Common contents

Catastrophe cover*

Yes
No

Legal liability*

Office bearers liability

Fidelity guarantee

Body corporate entity liability

Machinery breakdown

Your Current Excess*

Do you require cover for Personal Accident for Volunteer Workers?

Yes
No

Professionally managed

Yes
No

Signature

This electronic signature will be treated the same as if signed personally.*

This is signature..

Name

Residential Strata