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LANDLORD INSURANCE QUOTE
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ARCADIA
INSURANCE
LANDLORDS INSURANCE
TENANTS INSURANCE
PROPERTY TYPE
RESIDENTIAL PROPERTY
COMMERCIAL PROPERTY
CALCULATORS
HOME BUILDING CALCULATOR
HOME CONTENTS CALCULATOR
REQUEST A QUOTE
LANDLORD QUICK QUOTE REQUEST
LANDLORDS INSURANCE FULL QUOTE
HOME INSURANCE QUOTE
CONTACT US
ARCADIA
INSURANCE
LANDLORDS INSURANCE
TENANTS INSURANCE
PROPERTY TYPE
RESIDENTIAL PROPERTY
COMMERCIAL PROPERTY
CALCULATORS
HOME BUILDING CALCULATOR
HOME CONTENTS CALCULATOR
REQUEST A QUOTE
LANDLORD QUICK QUOTE REQUEST
LANDLORDS INSURANCE FULL QUOTE
HOME INSURANCE QUOTE
CONTACT US
LANDLORD insurance Application Form
Arcadia Insurance Quote
COVER QUALIFYING CRITERIA
Property is used for
Residential Rental
Commercial Rental
There is a written lease in place and condition report completed annually.
Yes
No
PROPERTY MANAGMENT DETAILS
Property Managers Name
Real Estate Agency Office
Contact Phone Number
Your Email
PROPERTY OWNER (LANDLORD) DETAILS
Title
Mr
Mrs
Miss
Ms
Prof
Dr
Other
Surname
Given Name
Date of Birth
Mobile Ph
Work Ph
Email
Company Name (if applicable)
ABN (if applicable)
Address (please provide postal address, if different from street address)
Suburb
State
Postcode
Preferred contact method
email
mobile
home
work
sms
PROPERTY POLICY DETAILS
Please provide details of the property you are insuring
Address (please provide postal address, if different from street address)
Suburb
State
Postcode
Weekly Rent Amount
MORTGAGE PROVIDER
Please specify mortgage provider: (to be noted as an interested party on the Certificate of Insurance)
INSURANCE REQUIREMENTS
PROPERTY TYPE
Apartment
House
Townhouse
Do you require a quote for your building insurance?
Yes
No
Total Building Sum Insured
Property Walls
Brick
Double Brick
Weather Board
Other
Roof
Tiles
Iron
Colorbond
Other
Locks on window and doors
Yes
No
Alarm
Local
Monitored
No Alarm
Year of Build
Pet Cover
Yes
No
Insurance Start Date: (cannot be backdated or more than 30 days in advance)
POLICY HOLDER DISCLOSURE
Has anyone to be named insured had a claim refused or declined for fraud or dishonesty ?
Yes
No
In the last 5 years, has anyone to be named insured been declared bankrupt, or entered into a part 9 debt agreement whether voluntary or not, or had any other default judgment registered against them ?
Yes
No
In the last 5 years, has anyone to be named insured had any criminal convictions ?
Yes
No
DECLARATION & PAYMENT DETAILS
You will receive a Certificate of Insurance and Invoice which states our payment details, in order for you to deposit the premium amount. If being completed by a Property Manager, the Property Manager has authorisation from the owner/s to arrange this Insurance Policy on his/her behalf for the above rental property.
I have read and understood the policy terms and conditions
Yes
Authorised person’s full name:
Authorised person’s signature
Date
SUBMIT
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TENANTS
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TRADE/CONSTRUCTION
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FARM
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AVIATION
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