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Simply complete the form below and the InsureAble team will be in touch shortly.

This information will help us process your application quickly.

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Home and contents

Please submit one form (situation) for each property, so we can assess them seperately.

Situation number

Property address

Suburb

Postcode

Date of build

Number of storeys

Wall construction

Floor construction

Roof construction

Roof frame construction

Smoke detectors installed?

Yes No

Monitored smoke detectors installed?

Yes No

Extinguishers?

Yes No

Use of building?

On-site care?

Yes No

Claims history?

Yes No

Building sum insured

Contents sum insured

Loss of rent / Gross profit

Name

Company

Phone

NOTE: If you are unable to provide an answer, or the question is not relevant for you, please write “N/a” in the field.

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First Name

Last Name

InsureAble Pty Ltd ACN 695 448 063 is an Authorised Representative of CorpSure IPL Pty Ltd ACN 162 956 587 (CorpSure) with AR No. 001320125. CorpSure holds Australian Financial Services Licence No. 437 543 (AFSL). CorpSure is responsible for the financial services provided to you. We normally act for you in providing our insurance services. However, where we arrange for an insurance product to be issued to you on behalf of an insurer, we will do so on the insurer’s behalf under the “binding authority’ they have given us.

CorpSure is also a member of the National Insurance Brokers Association and subscribes to the General Insurance Code of Practice.

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Thank you for the chance to provide cover for you.

You will be contacted shortly by an InsureAble / CorpSure representative with details of your quote.