Home and Contents Insurance

Please complete the form below and click Continue. You will then be presented with a confirmation page. After confirming, your details will be passed onto a Broker. A consultant, who may be able to improve on the terms provided, will contact you.

Before continuing please read the terms and conditions (click legal page) and privacy statement (click privacy consent page).
Westralian Insurance & Financial Service
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? (yyyy)
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 the area?
Is the property built to cyclone code standards?
YesNo
Is the property in an area that has reticulated water?
YesNo
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
Window Security
Windows have standard Locks
Windows have security Screens or Bars or Grills or Aluminium roller shutters
Louvre Windows - Not Present or Barred
Windows have keyed Locks
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
Additional Security
Neighbourhood Watch Area
Audible alarm
Monitored alarm
Safe is installed
Someone is always at 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.)
YesNo
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 Cameras and Accessories
Other Specified Items
Applicant Details
What is your date of birth? (dd/mm/yyyy)
Are you retired?
YesNo
Are you an aged pensioner?
YesNo
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 (or enter 'NA' if Not Applicable)
Preferred contact time
Preferred contact method
EmailPhone
Please enter any comments here
Office Use Only
Partner Id