Strata Unit Underwriters

Quotes & Application Form for ACT

Strata Unit Underwriters offers three packages for Residential Landlord Insurance in ACT. This allows you to choose the most appropriate level of cover to meet your needs. The table below shows the amount of cover provided by each of the packages. Quotes for the packages are also given below.

Package	Cover for Contents	Cover for Loss of Rent	Cover for Rent Default	Cover for Public Liability	Premium (incl GST)
A	$10,000	$10,000	$5,000	$10,000,000	$288.00
B	$15,000	$15,000	$5,000	$10,000,000	$335.00
C	$20,000	$20,000	$5,000	$10,000,000	$382.00

For information on the Residential Landlord Insurance policy please read the Policy Overview and the Product Disclosure Statement and Policy Wording.

To proceed with obtaining cover based on the quotes provided above, please complete the application form below. Cover is subject to approval of this application.

Insured Details

Insured Name
Situation of Insured Property
Start Date for Insurance
Mailing Address
Telephone
Facsimile
Mobile
E-mail

Cover Required

Please select the Residential Landlord Insurance Package that you require based on the quotes provided above

A B C

Duty of Disclosure Details

Have you had any claims in the last 3 years? (If yes, please provide details below)	Yes	No
Has the insurance on this risk ever been declined or had special terms imposed? (If yes, please provide details below)	Yes	No
Are the premises occupied?	Yes	No
Are there any hazards/defects associated with the property? (If yes, please provide details below)	Yes	No

Are the premises used for holiday letting or short-term rental?	Yes	No
Is the property furnished?	Yes	No

Duty of Disclosure Details

Cover does not commence until receipt and approval of this satisfactorily completed application form by Strata Unit Underwriters. An invoice for payment will be forwarded to you within 7 days of receipt of approved applications.

If you would like to print this form, before submitting, please click here.