Quote - Home Insurance - NZ Police Association

First name *

Last name *

Member name or QID *

Date of Birth *

Phone number *

Email *

Street number and name *

Suburb *

Town / City *

Postcode *

Is any business conducted at this property? (Apart from home offices and excluding rental properties)

Yes

No

How many self-contained dwellings to be insured at this property? (Have their own living, cooking & bathroom facilities)

Occupancy of property

If Other provide details

Year property was built

Sum Insured - How much it would cost to totally rebuild your property at today’s prices? (inc GST):

What is the floor size of the property? (In Square Meters)

If you have Retaining Walls that would cost more than $50k to replace - provide the cost to replace

If you have recreational features that would cost more than $50k to replace - provide cost to replace:

Special features - do you have any of the following? (select all that apply)

If other, provide details

Has the property been identified as being at risk from any natural hazards? You can check the 'land features' section of your LIM report or check with your local council

Yes

No

When would you want your cover to start

Do you already have contents/vehicle policy with us? *

Yes

No

How did you hear about our cover?

If you selected other, please provide details

Any other information?

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