REI - Home and Contents

Home and Contents Quotation Request

Text in Red = Required Fields

Owner Details

First Name:
Surname:
Phone:		Email:

Risk Details

Address of Risk:
Suburb:
State:
Postcode:
What is the construction of the external walls?
What type of Building is the Property?
How many years old is your Property?
How is your Property occupied?
Is your home in a neighbourhood watch area?	Yes No
Are you an aged pensioner?	Yes No
Does your home have a burglar alarm?
Does the property have deadlocks on all external doors?	Yes No
Does the property have key window locks/bars or grills on all accessible windows?	Yes No
Has the property been re-wired in the last 50 years (if over 50 years old)?	Yes No

Cover Required

Total Replacement Cost of Building	$
Total Replacement Cost of Contents and Valuables	$
Does this sum insured include any contents items valued over $20,000?	Yes No
Do you require cover for accidental loss or damage for valuable items while away from your property?	Yes No
What excess do you require for your cover

Real Estate Agency Details

Name of Real Estate Agency that has referred you to Aon Personal Insurance
Situation Address of Real Estate Agency
Contact Name
Phone

Addtional Comments

General Comments (Incl. relevant information)