07 3808 3425 admin@pcibroker.com.au

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Home
About
Products
Resources
News
Contact

Home and Contents Quote

Step 1 of 8 - Your Name

12%

Can I start with your name?
First Name*
Last Name*

Nice to meet you! What type of cover are you looking for?
Cover Type*

Thanks for your selection! Where do you currently live?
Address*
Street Address

Great! What are your building and contents sum insured?
Great! What is your building sum insured?
Building Sum insured*
Great! What is your contents sum insured?
Contents Sum insured*
Do you require cover for any portable items outside the insured address?*
- Yes
- No
How much do you need?
Do you require additional cover for valuable items?*
- Yes
- No
How much do you need?

Can you tell us about your home?
Building type*
Are you currently insured?*
- Yes
- No
Who is the current insurer
Is business conducted from home?*
- Yes
- No
Occupancy type
Year the building was constructed?
What is the wall constructed of?
What is the roof constructed of?
Quality of the building
How many storeys in the building?*
Split levels are considered separate levels.
Will the property ever be unoccupied for more than 100 days?*
- Yes
- No
Is the property poorly maintained or in poor condition?*
- Yes
- No
Is the property under construction/renovation?*
- Yes
- No
Is the property heritage listed?*
- Yes
- No

Can you tell us about your home security?
Type of security on external doors*
What type of window security do you have?*
Type of alarm*

Lets talk about your claims history for the past 3 years
Number of claims in last three years*
When did you make your most recent claim?
Have you been declined insurance?*
- Yes
- No
Have you had a claim declined?*
- Yes
- No
Have you had any criminal convictions for fraud or arson?*
- Yes
- No

Almost done! May I grab a few quick details?
When would you like the policy to be effective from?
DD slash MM slash YYYY
Add this to an existing package?*
- Yes
- No
Payment Type*
- Annual
- Instalments
Email*
Phone*
Date of birth of the oldest insured*

Day
Month
Year
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PCIB Details

Unit 24, Commercial Court
130 Kingston Road
Underwood QLD 4119
Australia

Phone: (07) 3808 3425
Fax: (07) 3808 3953
admin@pcibroker.com.au

General Info

Gary Goodson and Company Pty Ltd T/as PCIB (Peter Collins Insurance Brokers)
ABN: 23 072 946 055
AFSL: 243509

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