ACE IRM Insurance Broking Group

Q400

Under the new FSRA, clients are now categorised as either Retail clients or Wholesale clients. Retail clients require insurance such as Motor Vehicle, Home, Personal Accident, Private Pleasure Craft, Travel, Personal and Domestic. In general, all other clients will be deemed as Wholesale. They will include commercial clients dealing with liability insurance, (including workers compensation, CTP, marine insurance (other than pleasure craft) and statutory insurance relating to residential construction work. When placing your insurance, at ACE IRM we have access to a wide variety of Insurance Companies and we will always select the Insurance Company that best suits your individual or company needs.

Home (Retail)
We can insure your home building against Defined Events and Accidental Damage. We can insure your home contents for either Defined Events where your are protected against damage or loss as a result of a specified event which will be outlined in your Product Disclosure Statement or we can insure against Accidental damage where the insurance is provided for additional benefits over and above those covered by Defined Events.

Complete the details below for a quote

Personal And Domestic Insurance (Retail)
Your personal items not covered by your home and contents insurance. Please contact your retail Customer Service Officer for more information.

Insured Property Details
What is the postcode of the property to be insured?
In which suburb is the property to be insured?
In which state is the property to be insured?
What is the insured address?
In which year was the building constructed?
What type of building is it?
How is the building occupied?
What are the external walls made of?
What is the type of roof?
What type of fire brigade service operates in this area?
Is the property built to cyclone code standards?	Yes No
Is the property in an area that has reticulated water?	Yes No
What Security Does the Property Have?
In most Metropolitan areas, the minimum security required for Contents insurance is 1) Windows have keyed locks 2) Doors have double keyed deadlocks 3) Sliding doors - not present or patio bolts
Please advise the Window Security	Windows have standard locks Windows have security screens, bars, grills or aluminium roller shutters Louvre windows - not present or barred Windows have keyed locks
Please advise the Door Security	Doors have standard locks Doors have double keyed deadlocks Doors have single keyed deadlocks/security doors Sliding doors-not present or patio bolts
Please advise the Additional Security	Neighbourhood Watch Area Audible Alarm Monitored Alarm Safe is installed Someone is always home
Cover Options
What is the Building Sum Insured? (This MUST be the full replacement value of the building. If specified, the minimum value is $50000.)
What is the Contents Sum Insured? (This MUST be the full value of all the contents. If specified, the minimum value is $15000.)
Do you wish to include cover for Domestic Workers' Compensation? (If you answer 'Yes' it will default to 1 domestic worker. If you have more please inform the insurance consultant when you are contacted.)	Yes No
What is your preferred basic excess option? (Note: Your preference may not be available for all policies.)
Special Risks
This section applies if you have requested cover for Contents, above. In this section, you should provide the values of Special Risks (also called Valuables or Personal Property) that you may want covered by your Home and Contents policy.
Unspecified Valuables (Note: The amount you request may not be available for all policies due to cover limits.)
Bicycles
Specified Jewellery
Mobile Phones
Portable Computers
Safe Deposits
Video Camera and Accessories
Other Specified Items
Applicant Details
What is your date of birth?
Are you retired?	Yes No
Are you an Aged Pensioner?	Yes No
Which Insurer currently provides your home and/or contents insurance?
How many claims have you made in the last 5 years?
How many No Claim Bonus years do you have?
How Should We Contact You?
Title
First Name
Last Name
Contact Address
Contact Postcode
Contact Suburb
Phone Number
Email Address
Preferred Contact Time
Preferred Contact Method	Email Phone
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