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Home & Contents Quote

Step 1 of 8 - Your Name

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Hi, let's get some details for your Home & Contents Insurance quote
Name*
First Last
Email Address*
Phone or Mobile*

Nice to meet you! What type of cover are you looking for?
Cover Type*

Thanks for your selection! Where do you currently live?
Current Address*
Full Address Address Line 2 City State Postcode Country

Great! What are your building and contents sum insured?
Great! What is your building sum insured?
Building Sum insured*
Great! What is your contents sum insured?
Contents Sum insured*
What is your current/ preferred policy excess?*
Other
Do you require cover for any portable items outside the insured address?*
- Yes
- No
How much do you need?*
Do you require additional cover for valuable items?*
- Yes
- No
How much do you need?*

Can you tell us about your home?
Building type*
Are you currently insured?*
- Yes
- No
Who is the current insurer
Is business conducted from home?*
- Yes
- No
Occupancy type
Year the building was constructed?
What is the wall constructed of?
What is the roof constructed of?
Quality of the building
How many storeys in the building?*
Split levels are considered separate levels.
Will the property ever be unoccupied for more than 100 days?*
- Yes
- No
Is the property poorly maintained or in poor condition?*
- Yes
- No
Is the property under construction/renovation?*
- Yes
- No
Is the property heritage listed?*
- Yes
- No

Can you tell us about your home security?
Type of security on external doors*
What type of window security do you have?*
Type of alarm*

Lets talk about your claims history for the past 3 years
Number of claims in last three years*
When did you make your most recent claim?
Claim amount
Type of claim
Have you been declined insurance?*
- Yes
- No
Have you had a claim declined?*
- Yes
- No
Have you had any criminal convictions for fraud or arson?*
- Yes
- No

Almost done! May I grab a few quick details?
When would you like the policy to be effective from?
DD slash MM slash YYYY
Add this to an existing package?*
- Yes
- No
Payment Type*
- Annual
- Instalments
Date of birth of the oldest insured*
How did you hear about Breakwater IB?*
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Name
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Address

182 Fairy Street, Warrnambool

Postal Address

PO Box 623 Warrnambool VIC 3280

ABN: 32 063 888 308
AFSL: 495738

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03 5562 0248

info@breakwaterib.com.au

Woodleigh Fields Pty Ltd T/As Breakwater Insurance Brokers

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