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About ATIA
Our Services
Resources
Quotes
Premium Payments
Contact Us

Home & Contents Quote

Step 1 of 8 - Your Name

12%

Please provide some details for your Home and Contents quote
Name*
First Last
Email Address*
Phone or Mobile*

What type of cover are you looking for?
Cover Type*

Where do you currently live?
Current Address*
Full Address Address Line 2 City State Postcode

What are your building and contents sum insured?
What is your building sum insured?
Building Sum insured*
What is your contents sum insured?
Contents Sum insured*
What is your current/ preferred policy excess?*
Other
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*

Number of claims in last three years*
When did you make your most recent claim?
Claim amount
Type of 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

Finally, please complete the details below
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
Date of birth of the oldest insured*
How did you hear about Atia?*
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Name
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ABN No. 79 005 672 971
AFSL No. 246675

Telephone: +613 9642 4622
Facsimile: (03) 9642 4623
Email: info@atiais.com

Street Address

Level 7
406 Collins Street
Melbourne Victoria 3000

Postal Address

PO Box 284
Collins Street West
Melbourne Victoria 8007

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General Advice Warning

We only provide a "General Advice" service and do not provide a "Personal Advice" service. We will tell you about the relevant products and collect certain information from you to allow us to determine whether we can issue or arrange them. We are not able to tell you whether the product or an option within it is appropriate for you specifically.

Due to this you need to consider the appropriateness of any general advice given or information we give you having regard to your objectives, financial situation and needs before acting on it. If the advice relates to the acquisition of a financial product you should consider the Product Disclosure Statement for that product before making a decision.

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