Prestige Home Insurance Quotation Form
Please complete the details below and we will obtain a quotation on your behalf:
Required Fields (*)
*
Contact Name:
*
Phone:
Fax:
*
Email:
Occupation:
*
Location:
Sums Insured
Building
$
Specified Contents (As per schedule)
$
General Contents
$
Personal Property
Australia & N Z only (As per schedule)
$
Worldwide (As per schedule)
$
Domestic Workers Compensation
Yes
No
Construction:
*
Walls:
- Please Select -
Brick
Concrete
Metal
Other
*
Floors:
- Please Select -
Concrete
Timber
*
Roof:
- Please Select -
Concrete
Metal
Tile
*
No. of Storeys
*
Protection:
Sprinklers
Fire Hydrant
Hose Reels
Extinguishers
Back to Base Securitel Alarm
Back to Base Dialer Alarm
Local Alarm
Deadlocks
Bars/Grills
Window Locks
Safe
*
Heritage Listed
Yes
No
No. of Domestic Employees:
*
Claims/Losses Last 3 Years:
(Date/Description/Amount/Insurer)
*
Current
Insurer:
Current
Broker:
Current
Premium:
$