Motor homes & Caravans

Quotes Motor Home and Caravan Insurance

If you want a quotation complete the questionnaire below and submit it to us and we'll contact you.

Motor Homes & Caravans Insurance Application

IMPORTANT: Please answer ALL questions fully. If there is insufficient space please provide details on your letterhead. Where provided, select ( ) appropriate box to indicate answer. The Applicant will be referred to in this Proposal as "You" or "Your".


THE APPLICANT/S
Name(s) of the Registered Owner(s) of the Vehicle (known as the Insured)	Surname
	Given Names
	Occupation
Tax Status	Registered Business Yes No ABN Taxable %
Residential Address
Contact Number	Phone No.	Mobile No.
Email			Fax No.
Period of Insurance	From To

MOTOR HOMES &/OR CARAVAN DETAILS
What type of caravan do you wish to insure?
Where is the caravan usually kept?
Suburb		Postcode
Year of manufacture		Make of caravan
Caravan model		Length of caravan
How much would you like to insure the caravan
Would you like to insure the contents of the caravan?			Yes No
If yes, how much would you like to insure the contents of your caravan for?
FINANCE DETAILS
(a)	Is the caravan financed?	Yes No
(b)	Type of finance
(c)	Name and address of finance provider Name Address
Have you had previous Caravan insurance?			Yes No
If yes, what is your No Claim Bonus?
If no, please indicate the extent of any No Claim Discount that you hold on a car policy
Have any of the owners or drivers who are likely to tow the caravan, in the last 5 years, had any motor, caravan or trailer claims? If yes, please provide date and details of incident			Yes No

DECLARATION

I declare that:

You give us authority to exchange information about any insurance or claims history with other insurers or any insurance or credit reference bureau.
All information given in this application is true and correct.
Statements made in this application by one person are to be treated as made by all the people to be insured.

I have read the Declaration, Terms & Conditions, Acknowledgement & Financial Services Guide:

Motor homes & Caravans

Quotes Motor Home and Caravan Insurance

Motor Homes & Caravans Insurance Application

THE APPLICANT/S

MOTOR HOMES &/OR CARAVAN DETAILS

FINANCE DETAILS

DECLARATION