Home and Contents Insurance

We strive to give you the best advice so that you have peace of mind and financial protection for the important and treasured assests which are your home and contents.  Major damage to your home, or the complete loss of your home, can be devastating. At Eagle, we are committed to relieving your stress and helping you return to normality as fast as we can. While we can't remove the heartache of losing a treasured item, we can quickly arrange for your coverage to look after the repair or replacement of your home / contents with new items using our well-known suppliers.

To make a general enquiry and have an Eagle Insurance Broker contact you to discuss the best and most cost effective solution to your home insurance needs, please fill out the form below.

Just fill out the client contact  section at the top of the form below and an Eagle Insurance team member will get back to asap (scroll down and use the SUBMIT button at the bottom of the page when complete).FAST-TRACK : if you take the time to enter your information into the questionaire below you will have an answer much faster, as we will need this information from you to get you the cheapest, best and most appropriate quote, including exactly the features you need for your long term peace of mind.

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Home & Contents Needs Analysis Insurance for Home Building and/or Home Contents
CLIENT CONTACT DETAILS
Client Name: (Remember to provide full insured details)
Client Code:
Mailing Address:
Contact Phone No.:		Contact Fax :
Email Address:
Referral Source:		Existing Client AIFS All About Home Loans Ballina Business Directory Belinda Eyers Better Business Magazine Brunswick Business Directory Byron Chamber of Commerce Byron Industrial Estate Directory Internet Karen Lang Accountants Horwath Accountants Merit Plan Ultimate Financial Services Yellow Pages Other

HOME INSURANCE NEEDS QUESTIONAIRE

To fast-track processing of your application for a home insurance quote and get covered quickly, please fill out the questionaire below.

There is no obligation in filling in your information, just a speedier process of finding the best home insurance policy to meet your specific needs, to make your choice easier and get you covered faster. Privacy guaranteed.

BUYING MOTIVES?
To enable us to provide you with the most appropriate insurance product to meet your requirements we need to ascertain what you are looking for when you are considering your home and contents insurance:
The cheapest policy available as features and benefits do not concern you
The best cover available so I am covered for as many things possible
Combination of cheap price & broad policy making sure of "value for money"
I want to be able to contact my broker as relationship is important to me
I want someone to look after any claims that occur & assist with the process
ABOUT THE PROPERTY
What is the address of the property to be insured?
Is there any Finance over the property? (please provide full financiers name)
If you answered "Yes" for Finance;
Do you have adequate Life Insurance to protect your asset and payout the mortgage if something happens to you?			YES NO
If you answered "No" for Adequate Life Insurance; Can we get our business partner to contact you to review your personal protection?			YES NO
Age of the building OR year building was built:
Is the property Heritage listed?			YES NO
Is the property and any renovations or extensions council approved?			YES NO
If not, please provide details:
What is the size of the property? (i.e. 800m2 or 5 acres or 100 hectares)
Is the property serviced by town water?			YES NO
Has the property been re-plumbed if it is over 75 years old?			YES NO
Has the property been rewired if it is over 25 years old?			YES NO
Has the property been re-stumped if it is over 50 years old?			YES NO
Does the property have a pool?			YES NO
Does the property have a tennis court?			YES NO
Does the property have a pontoon?			YES NO
Is the building located in an area that has established Neighbourhood Watch?			YES NO
Has the property experienced damage from a flood previously?			YES NO
Is the property in close proximity to a river, lake, canal, or water course?			YES NO
If so, how close:
Type of building:			Townhouse Villa Other House on footings House on concrete slab Unit ground floor Unit 1st floor Unit above 1st floor Rented to tentants
If Other, please specify:
Occupant details:			Owner Occupied Tenant Holiday Home Shared Accommodation Boarder Other Landlord
If Other, please specify:
What are the outside walls of the building made of?			Brick Concrete Fibro Timber Other
If Other, please specify:
Does the building include a glass enclosure such as a conservatory or green house?			YES NO
Note: Some policies exclude glass breakage to conservatories and green houses.
Is a Business Activity carried on from the building? (A business activity is an activity from which income is derived).			YES NO
If Yes, what is the nature of the business: (NOTE: There is no cover for Business Liability as a separate policy must be taken out.)
Will the public be invited onto the premises?			YES NO
For GST purposes, do you claim an input tax credit (ITC) for home and contents insurance costs?			YES NO
If Yes, what percentage of ITC is claimed?:			%
Do you employ anyone to assist with domestic duties? (If Yes, you may have a liability to protect the employee against injury that may occur while they are working for you. Your liability can be protected by a domestic workers compensation insurance policy.)			YES NO
Do you require a domestic workers compensation insurance policy?			YES NO
If Yes, how many domestic workers do you employ?
Please advise your date of birth. If the policy is to be issued in joint names, advise the date of birth of the eldest person:
Are you retired from full-time work?			YES NO
Is the person in whose name the policy will be issued to a pensioner?			YES NO
INSURANCE HISTORY
Have you claimed on a House & Contents Policy in the last 5 years?			YES NO
If so, please advise details (date, type of claim, amount of claim):
Have you ever been declined, cancelled, refused or special terms imposed?			YES NO
Have you ever been convicted of any offense for property, fraud, theft, drugs or dishonesty?			YES NO
WHAT TYPE OF COVER IS REQUIRED?
Defined Events	This covers specific events that are listed in the policy like Fire, Storm (incl. Hail & Cyclone), Malicious Damage, Impact by car or plane, Earthquake, Water Leakage, Lightning, Burglary, or Theft and others. There are of course exclusions to every Home & Contents policy and you should refer to the PDS to review these.
Accidental Damage	This policy acknowledges all of the events listed in the normal Defined Events policy as well as covering any Accidental Loss and/or Damage that is not otherwise excluded by the normal exclusions of the policy and you should refer to the PDS to review these.
Do you require cover for FLOOD? (This is the inundation of normally dry land from a natural watercourse, lake, river, dam or canal) NOTE: This definition can change between insurers so please refer to the PDS.			YES NO
Do you require cover for RENT DEFAULT & TENNANT DAMAGE? (This covers rent loss where a tennant leaves without notice as well as damage caused by tenants which is normally excluded from a standard home insurance policy. NOTE: The definition can change between insurers so please refer to the PDS.			YES NO
WHAT IS THE AMOUNT OF COVER THAT YOU REQUIRE?
Property to be insured	Amount of cover	Comments
Buildings: (incl. all outbuildings, in ground pools & driveways etc.)	$	The cover is based on replacement and reinstatement. This means the building is reinstated as new, provided the amount the building is insured for represents the replacement cost.
Unspecified Contents:	$	The cover is based on replacement and reinstatement. This means the contents are reinstated as new, provided the amount the contents are insured represents the replacement cost.
Antiques:	$	Most insurance policies that cover Home Contents, contain maximum amounts that the insurer will pay for specific items of contents, such as: Works of art, pictures, tapestries, antiques, bicycles, cash, savings cerficates, stamps, money orders and other negotiable instruments, bullion or documents. The value of these items should be listed separately.
Jewellery:	$
Video camera:	$
Bicycle(s):	$
Portable computer:	$
Mobile phones:	$
Other specified items:	$
	$
	$
	$
Personal Liability:	$	Minimum recommendaton of $10,000,000
Loss of Rent (weekly):	$
Personal Valuables - specific items of contents can be insured separately and be covered outside of the home. Items such as jewellery, watches, camera, mobile phone, etc. can be insured as special risks. This insurance will provide 24 hour cover, 7 days a week anywhere in Australia. An additional cost will apply for this cover.
Do you require an unspecified cover?			YES NO
$1,000 per item with a total claim per year of $5,000			Yes
$2,000 per item with a total claim per year of $10,000			Yes
Do you require special risks cover?			YES NO
If Yes, provide details of the items and amount to be insured:
1. -	$
2. -	$
3. -	$
Advise the types of security that have been installed:
Windows:
Standard Locks	Keyed Locks	Security Screens	Bars/Grill
Doors:
Standard Locks	Single Key Deadlock	Double Key Deadlock
Other:
Local Alarm	Monitored Alarm	Bolts on Sliding Doors	Safe
Provide additional comment relating to security if required
Is this quote for the renewal of an existing insurance policy?			YES NO
If yes, please advise the name of the current insurer, the policy number and expiry date of the current policy:
Current Insurer:
Policy Number:
Expiry Date:
This Needs Analysis was prepared by on / /

OFFICE USE ONLY
WHAT ADVICE ARE YOU GIVING? To enable us to provide you with the appropriate insurance product to meet your circumstances, financial objectives and needs we require certain information from you. In doing so, you have
Agreed to provide the following information about your circumstances, objectives and needs.
Asked that only certain needs were considered as stated.000000000
Chosen not to complete the Needs Analysis or did not provide all of the information as requested.
Asked that information previously collected be used including amendments agreed. The information remains relevant and up to date.
General advice only.
COMPLIANCE
Have you advised the client of the PRIVACY ACT?	YES NO
Have you advised the client of the DUTY OF DISCLOSURE?	YES NO
Have you advised or provided the client of our FINANCIAL SERVICES GUIDE?	YES NO
Did you provide a PRODUCT DISCLOSURES STATEMENT (verbal or document)?	YES NO
If so what date was it provided?	/ /
Eagle will use this information to make certain recommendations to you so the information provided must be specific and correct otherwise it could affect the outcome of the advise we provide.

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If you're a landlord, and own a house that is being rented for domestic or residential purposes, Eagle can help you select the best from a range of policies.

• Protecting your valuables
• Protecting articles outside the home.
• Owner/Builder's insurance and insurance during construction
• Renter's Insurance / Fire and Theft Contents Insurance is low cost insurance, which may be suitable for renters or people in share accommodation.