Insurance for House content
 

 Complete the following questions to get a quotation for House content insurance

 
  Please complete the fields below:
     
  Initials:
  Surname:
  Cellular nr:
  Nationality:
  ID or Passport nr:
  Occupation:
     
  Please select your marital status:
     
  Married
  Single
  Divorced
  Separated
  Widowed
  Living together
     
  Previous Insurance:
     
  Name of you current or previous insurance:
  How long did you have uninterrupted insurance:
  List of claims (paid or not paid):
  If not paid, supply reason:
     
  Please select the type of roof cover of your house:
     
  Tiled roof
  Zink roof
  Thatched roof
     
  Please select the wall structure of your house:
     
  Brick walls
  Wooden walls
  Other
     
  Please give the nr of rooms in your house:
     
  Rooms and Bedrooms:
  Bathrooms:
     
  What is the address of the house content:
   
 
   
  What is the type of the house:
     
  Normal private house
  Flat
  Town house
     
  What security measures does the house have (eg: burglar bars, linked alarm, access control, wall around premises, electric fencing):
   
 
   
  Please enter the rand value of the house contents to be insured:
 
   
  Any items to be specified with their values (eg: laptop, jewellery, cctv, cameras):
   
 
   
  Any items to be insured under all risks with their values (items that is often taken out of the house):
   
 
   
  Please complete the fields below:
     
  What is the amount of accidental damage cover you need:
  Is the property situated next to a dam, river or any other water-mass:
  Is there any neighboring properties around the house:
  Is the house content currently insured:
  If yes, through witch company:
  Any burglaries or claims in the last 5 years:
  How long have you been staying at the risk address:
  Is the property rented out or used as communal living: