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ABN: 12 162 702 025 | AFSL: 444494

Contents Insurance Quote

Your duty of disclosure

Before you enter an insurance contract, you have a duty of disclosure under the Insurance Contracts Act 1984. If we ask you questions that are relevant to our decision whether to insure you and on what terms, you must tell us anything that you know and that a reasonable person in the circumstances would include in answering the questions. You have this duty until we agree to insure you.

If you do not tell us something

If you do not tell us anything you are required to tell us, we may cancel your contract or reduce the amount we will pay you if you make a claim, or both. If your failure to tell us is fraudulent, we may refuse to pay a claim and treat the contract as if it never existed.

By proceeding you confirm you have read and understood this duty

    Client Name*

    First

    Middle

    Last

    Date of Birth*

    Phone Number*

    Email Address*

    Renewal Date*

    Property Address*

    Wall Type

    Roof Type

    Security

    Building

    Contents

    Cover Options

    Landlord Insurance

    Landlord Insurance Options

    Weekly Rent $

    Claims History

    Claims History (Within the past 5 years)


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