Landlord Insurance Application Form.

Insurance designed with you in mind.

Landlord Application Form

Click here to see Product Benefits.

Click here to see Product Benefits.

Does your property fall into any of the following categories:

Holiday Home, Historic Home, National Trust, Heritage Listed, Estate Registered, Commercial or trade building, Backpacker accommodation, Guesthouse, Bed and Breakfast, Hostel, Retirement Home or property used for illegal purposes. If No, please continue. If Yes, sorry we cannot insure you under this policy.

Is your property managed by a professional managing agent?

If Yes, please continue. If No, sorry we cannot insure you under this policy. Please contact our office 1300 109 295

Do you want to insure:

Application Details

Property Details

Is the Property over 50 years old?
Is the Property currently vacant?
Do you require cover for flood?
On Acreage
Safety Switch on Switchboard?
Double keyed deadlocks on doors:
Patio/bolts on all external sliding doors:
Has a bond equivalent to 4 weeks rent been lodged with the appropriate state body?
In the last 5 years have you or anyone else proposing for this insurance been charged or convicted with any criminal offence?
In the last 5 years, have you made any claims under a landlords’ insurance policy?
Has your tenant or Property manager advised you that the tenant has lost their job or had their hours/income reduced by more than 20% as a result of Covid-19?
Have you ever had a claim for tenant default at the property to be insured?
Security screens on all external doors:
Keyed locks on all accessible windows:
Has a residential tenancy agreement for 3 month ormore been entered into?
Is rent currently in arrears or has rent been in arrears in the last 2 months?
Has any insurer ever declined to insure you or declined to renew a policy or imposed special items or conditions?
Has the tenant been behind in their rental payments for more than 14 days in the last two months?

DECLARATION (a) If I/we are a managing agent, I/we are duly authorised to complete this application form on behalf of the applicant. (b) I/we declare that: • the answers and information given by me/us in this Application are true and correct in all respects; • no information has been withheld that would affect Eagle Protect’s decision to accept this Application; • where answers in this Application are not my/our own handwriting, they have been checked by me/us. (c) I/we have read and understood the clauses detailed under the important Notices section in the attached brochure. (d) If there was insufficient space to fully answer any questions, we have attached supplementary pages providing the additional information required. (e) I/we authorise EagleProtect to give to, or obtain from other insurers or an insurance or credit reference bureau, any information relating to these insurance covers, and any other insurances held by me/us and claims under those insurances. (f) I/we have received or downloaded from the internet the Financial Services Guide, Product Disclosure Statement and Policy Wording. (g) Before completing this Application form, I/we have read and understood the Financial Services Guide, Product Disclosure Statement and Policy Wording.

This advice has been prepared without taking into account your personal circumstances. Before you act on the ad vice you should consider the appropriateness of the policy coverage for your particular circumstances and you should read the Product Disclosure Statement before you make a decision.

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