BCB Landlords Proposal / Quotation Request Form

Address of the property and/or contents to be insured

Is the property above the Ground Floor?*

yes
No

Address of the property and/or contents to be insured*

Unit No. / Level No. Street City State Postcode Country

Construction

Walls*

Roof*

Does the building have National Trust classification?*

Yes
No
Unknown

Building Description*

Town House
Unit
Other

Year your unit was constructed*

Building/Body Corporate Name*

Does the property have a burglar alarm?*

No Alarm
Local alarm
Monitored alarm (back to base)

Does the property have key operated locks, and/or bars, and/or grills on all accessible windows?*

Yes
No

Does the property have deadlocks and/or security doors on all external doors?*

Yes
No

Is the property managed by a licensed managing agent?*

Yes
No

Is the property part of the Body Corporate or Strata Scheme?*

Yes
No

If Yes what is the Body Corporate Manager’s Company name? **

Accidents,Claims and Personal Details

During the last 5 years, have you or anyone permanently residing with you had any thefts, burglaries, fires or accidents involving damage to property or contents or injuries to any person (whether or not a claim was made)?*

Yes
No

Have you or anyone else to be insured under this insurance, been convicted of or had any fines or penalties imposed for any crime involving drugs, dishonesty, arson, theft, fraud or violence against any person or property during that last 10 years?*

Yes
No

During the last 3 years has any insurer refused to insure your home and/or contents or any other property owned by you?*

Yes
No

Have you been declared bankrupt and not been discharged for at least one year?*

Yes
No

Is there currently a tenant in place?

Yes
No

Is the property let for holiday bookings?*

Yes
No

Is the lease agreement in any form other than a written agreement?

Yes
No

If Yes, what is the weekly Rent amount?

Are the bond monies you hold less than the equivalent of 4 weeks rent?

Yes
No

Was the initial rental period for less than 6 months?

Yes
No

If Yes, to any of the above please provide details:

Landlords Proposal / Quotation Request Form

Step 1 of 4 - Applicant Details

Postal Address

Address of the property and/or contents to be insured

Construction

Contents

Accidents,Claims and Personal Details

Why Choose BCB?

Our Products & Services

Strata Insurance for Owner Managed

Strata Insurance

Personal Cyber Protection Insurance

Landlords Insurance

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Build to Rent

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