Today is Wednesday, 7 January 2009 
 


Members Only Area
Username:
Password:
Request New LoginForgot your password?

Quotation Request for Home and Contents or Other Personal Property Insurances

There are many insurance policies available to cover your house and its contents. Policies offered by insurers vary in scope and the amount of cover they provide. Please complete the following form so an IBNA broker can obtain a quotation for you.

To be sure you have the right policy to meet your specific needs, it is likely the broker will contact you to discuss the many options available. An IBNA broker will provide an all-encompassing, value-added solution to protect your personal property.

Be covered when the unexpected happens. Be certain you can have your home & contents replaced following a claim for loss or damage.

Name:
Enter your name here
Address:
Enter the address of the property to be insured
Town or Suburb:
Post code:
Area code:
Phone number:
Enter numbers only
State:
Email address:
Enter your contact email address
Select the type of building:
Select type of occupation:
Select the type of construction:
What are the outside walls of the building made of?

What is the amount of cover you require?
Building value: Dollars
Contents value: Dollar
Past claims:
Have you made any claims for loss or damage to a home or contents in the past 5 years?

If Yes, provide the date of the losses and a brief description for each of the losses.
Current insurance:
Is the property currently insured?

Enter the date the current policy will expire. 		(dd/mm/yyyy)
Indicate if you require insurance for:
Specified contents:
Bicycles:
Portable contents:
Motor vehicle:
Sickness & accident:
Travel insurance:
Domestic workers' compensation:
Click above to see flyer
  Vision | Mission | Values | Disclaimer | Privacy Statement © IBNA Limited 2006