Home and Contents Insurance Form

    1

    Your Details

    2

    Insured Property Details

    3

    Cover Required

    4

    Declaration and Submit

    Introduction

    Please answer all questions in this proposal form. Blanks and/or dashes, or answers "known to underwriters or brokers" or "N/A" are not acceptable and will delay processing of this application.

    • Any documents attached to this document form part of this application.
    • Where appropriate, please tick the yes or no box which best indicates your reply.

    If you have any questions whilst completing this insurance proposal form, please call our office.

    Primary Contact

    Details about the Insured (You)

    Insurance is a contract between the named insured and the insurer. You should name any adult who lives at the premise. Whether that is your spouse / partner, adult children / siblings, or your parents to ensure any contents owned by them are insured, and any liability associated with living at the premise is covered by this policy. If you do not list them they may not be insured.

    If you are not the main insured, please list the full legal name of the first insured person to be listed on this policy.

    Occupancy Type

    Insured Property Details

    What kind of business do you operate from the premise?

    For hectares, add ha after the number (example: 5ha)

    Security Details

    What cover you would like to include

    Please visit the Insurance Council of Australia for online calculators - Online Calculators

    Important Note about Contents

    All policies have a maximum value per item or limit per item for contents that are not specified.

    Many direct insurers have a limit of $1,000 which isn’t very much for jewellery, musical equipment, cameras, or sporting equipment, particularly e-bikes.

    As we use multiple insurers, the quotes we arrange could have different limits. Usually this ranges from $10,000 per item through to $20,000 per item not specified.

    If you have high value items that aren’t specified, please let us know so we can recommend the right policy.

    Would you like your policy to include cover for:

    This is recommended when you take your personal property away from your home, whether this is jewellery, laptops or electronics, sporting equipment, cameras or musical equipment to provide cover for these items when you are away from your home.
    This additional cover helps protect you, your data, bank accounts and your identity from online/cyber crime and identity theft.

    Specified Contents / Valuables

    Specified Content 1

    Specified Content 2

    Insurance Claims History and your Duty not to Misrepresent

    Claims and Disclosure Questions

    The questions we ask below will help us arrange quotes for you, however, you will be required to check similar questions which may be worded differently on any final application form or "what you told us" form before you make payment of any policy we arrange for you. You must check these forms we send you each and every year to ensure the answers remain accurate and notify us of any changes that are required.

    Financial Service Guide (FSG)

    Our Financial Service Guide (FSG) explains who we are and the license under which we operate. You should read our FSG before accepting any policy or advice from us. You can read our FSG online at www.oraclegroup.com.au/fsg.

    Cooling Off

    If you are not completely satisfied with your policy, you may cancel it by notifying us in writing within 30 days of cover having commenced. You will receive a refund of the amount you have paid unless something has occurred for which a claim may become payable under the policy.

    Confirming Transactions

    You may contact us, in writing (which is always required if you are advising cancellation) or by phone, to confirm any transaction under your policy. Any transaction will be documented by us as quickly as possible.

    Code of Practice

    A self-regulatory Code of Practice exists for the general insurance industry, designed to raise overall standards. We have adopted the Code, details of which can be obtained from your insurance broker or our office.

    Complaints

    If you do not agree with any decision we make in relation to your insurance, please write to us stating what you disagree with and why. We will then either resolve or attempt to resolve your complaint immediately or refer the matter to our Internal Dispute Resolution Committee (IDRC). If you are not satisfied with a decision of the IDRC, the matter may be referred to an independent alternative dispute resolution body, the Australian Financial Complaints Authority (AFCA) provided it falls within their jurisdiction.

    Privacy

    We respect your privacy and comply with the Privacy Act and the National Principles. A copy of our Privacy policy is available upon request or on our website.

    Your duty when you apply for insurance

    Before you enter into an insurance contract, you have a duty to not misrepresent under the Insurance Contracts Act 1984.

    By law, you must take reasonable care not to make a misrepresentation. This means giving us true, complete and accurate answers to our questions, including where you provide information on someone else’s behalf.

    We use your answers to decide whether to insure you and on what terms.

    If you do not tell us something

    If any of your answers are misleading, incomplete, inaccurate or fraudulent we may reduce or not pay a claim, cancel your policy or treat it as if it never existed.

    I hereby declare that:

    My attention has been drawn to the important notices accompanying this Application form and further I have read these notices carefully and acknowledge my understanding of their content by my signature below.

    The above statements are true, and I have not suppressed or mis-stated any facts and should any information given by me alter between the date of this Application form and the inception date of the insurance to which this Application relates I shall give immediately notice thereof.

    I authorise you to collect or disclose any personal information relating to this insurance to or from any other insurers or insurance reference service. Where I have provided information about another individual (for example, an employee, or client), I declare that the individual has been or will be made aware of that fact and the section in the Policy on "The way we handle your personal information".

    I also confirm that the undersigned is authorised to act for and on behalf of all persons who may be entitled to indemnity under any policy which may be issued pursuant to this Application form and I complete this Application form on their behalf.

    Details of Person Completing this proposal form

    Contact

    1300 003 555

    Office Address

    Suite 1263, Level 1
    241 Adelaide Street
    Brisbane QLD 4000

    Postal Address

    PO Box 3212
    Yeronga QLD 4104

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      Contact

      1300 003 555

      Registered Office (for correspondence)

      Suite 1263, Level 1
      241 Adelaide Street
      Brisbane QLD 4000

      Postal Address

      PO Box 3212
      Yeronga QLD 4104

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        Important Note:

        Insurance broking services are administered by VIM Cover Pty Ltd ABN 84 664 655 449 as a Corporate Authorised Representative (CAR 001304833) of Oracle Group (Australia) Pty Ltd AFSL 363610. The information provided is of a general nature and does not take into account your objectives, financial situation, or needs. You should consider whether it is appropriate for your circumstances and read the relevant Product Disclosure Statement (PDS) and Target Market Determination (TMD) before deciding.

        Finance broking services are administered by VIM Capital Pty Ltd ABN 26 690 516 879 as a Credit Representative (CRN. 573144) of MRFHI Pty Ltd ACL No. 476270. We are authorised to provide credit assistance and intermediary services for commercial and asset finance products. Your full financial situation will need to be reviewed prior to any offer or acceptance of a loan product. VIM Capital provides services in accordance with the National Consumer Credit Protection Act 2009 (Cth). VIM Capital Pty Ltd is a member of the Australian Financial Complaints Authority (AFCA), Membership No: 118117