Landlord Insurance - Rivers

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Name of Purchaser
Contact Name
Address
Street Address Address Line 2 City State Post Code
Contact Phone
Email*
Eldest Applicant Date of Birth
DD slash MM slash YYYY

Building Details
Address of Property to be Insured
Name of Mortgagee/Financier
Type of Dwelling
Floor Level if High Rise Unit
Number of Units (if more than one at same location)
Construction Walls
Construction Roof
Construction Floor
Year Built
If Over 50yrs old - years renovated
Renovations made
- Re-wired
- Re-plumbed
- Re-roofed
Connected to Town Water
- Yes
- No
Size of Property if greater than 5 acres
Expected Rent Per Week
Number of Unrelated Occupants (if more than 2)
To your knowledge, has the Property/House ever been flooded?
- Yes
- No
Rent Default & Theft by Tenant Required?
- Yes
- No
This optional extra provides cover when your tenant leaves before the end of the rental agreement without giving notice or stops paying rent or is legally evicted
Is there a rental agreement in place?
- Yes
- No
Is there a Swimming Pool?
- Yes
- No
Is the Property Used for Holiday Let?
- Yes
- No
Is the Property Heritage Listed?
- Yes
- No
Is the Property Furnished?
- Yes
- No
Do you/WIll you use a Managing Agent?
- Yes
- No

Security
Windows
- All Standard Locks
- Some Standard Locks
- All Keyed Locks
- Some Keyed Locks
- All Security Bars or Grills
- Some Security Bars or Grills
External Doors
- All Standard Locks
- Some Standard Locks
- All Deadlocks
- Some Deadlocks
- All Security Screens
- Some Security Screens
- Patio Bolts on Sliding Doors
Alarm
Sum Insured
Building (Replacement cost excluding land, if new build - Contract Value)
Contents (if over $10,000 required)
Additional Questions
Previous Insurer (if applicable)
Due Date (if applicable)
MM slash DD slash YYYY
In the last 5 years have you the Insured:
Had any Insurance (including renewals & cover notes) declined, cancelled or special terms imposed?
- Yes
- No
Been charged with any criminal offence or bankruptcy?
- Yes
- No
Claimed under any insurance policy for anything covered under this insurance?
- Yes
- No
Provide any additional information you feel should be disclosed
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Contact

Brisbane

Cairns

Innisfail

ABN: 28 010 242 681

AFS License: 247093

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Insurance Specialisations
About
FAQ
Tips & News
Why Use Rivers
Webinars & Education

Contact Make a Payment Make a Claim