13000 FAITH
faithinsurance.org.au
email us
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13000 FAITH
faithinsurance.org.au
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Organisation Information
Your Business
Yes
No
Are you a Christian church, missionary or worship group based in Australia?
Does your business involve any one or more of the following?
Principally (but not limited to) Churches, missionary organisations (based in Australia), theological colleges, media production and broadcasting, music production and publishing, fundraising, schools and connected businesses including: Home Help, Childcare Centres, Kindergartens, Age Care Centres, Conference Centres, Campsites, Cafes, Social Welfare Activities including but not limited to Books & Opportunity Shops, Social and Sporting Clubs, Counselling and Healing Centres, Halls, Missionary Work (based in Australia), Community Programs, Youth Activities and any other activity incidental thereto.
Due to the response provided you cannot proceed. Please revise your response or give us a call to assist
Do you operate Community based Sporting Club/s with Gaming Machines?
Is the Gaming Revenue greater than 40% of Total Revenue?
Annual Income
Please Select Annual Income...
$0 to $200,000
$200,001 to $1,000,000
$1,000,001 to $2,000,000
$2,000,001 to $5,000,000
Over $5,000,001
Do you require Sexual Abuse and molestation Insurance Cover?
Do you have a stamp duty exemption letter from your State Revenue Office?
Please email your latest exemption letter to
hello@faithinsurance.org.au
If your income is earned in only 1 state, please enter 100 in the corresponding box below. If your income is earned in multiple states, please provide an approximate % breakdown of Annual Income for each state in the boxes below.
Total must be 100%:
NSW
ACT
QLD
VIC
TAS
SA
WA
NT
Overseas
Are you a small business eligible for exemption from paying NSW stamp duty on certain types of Insurance?
Yes
No
Yes
No
Do you require Building and/or Contents Insurance?
Please disclose all locations where you conduct your business activites and require building and/or contents insurance.
Location 1
Do you Own the Premises?
Yes
No
Do you occupy the building for your declared business activities (e.g., Church, missionary or worship group) above?
Yes
No
Due to the response provided you cannot proceed. Please revise your response or give us a call to assist
Is the building used for any activities other than your business activities described above?
Yes
No
please provide details
Is the property Heritage Listed?
Yes
No
Has the building been rewired?
Yes
No
Please provide year rewired:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Has the building been replumbed?
Yes
No
Please provide year replumbed:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Street Number/Name:
Suburb:
Postcode:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
What year was the Building Constructed?
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Construction details Walls:
Brick
Concrete
Timber
Unknown
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Masonry
Mixed < 75% Brick/Concrete/Iron on steel
Mixed > 75% Brick/Concrete/Iron on steel
Construction details Roofs:
Iron
Slate
Tiles
Timber
Unknown
Concrete
Masonry
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Construction details Floors:
Concrete
Timber
Unknown
Iron / Steel
Brick
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Does any part of the building construction include asbestos?
Yes
No
Unsure
please provide details
Does any part of your building include cladding such as Aluminium Composite Panels or Expanded polystyrene?
Yes
No
Unsure
please provide details
Building Replacement Value:
$
Contents Replacement Value:
$
Location 2
Do you Own the Premises?
Yes
No
Do you occupy the building for your declared business activities (e.g., Church, missionary or worship group) above?
Yes
No
Due to the response provided you cannot proceed. Please revise your response or give us a call to assist
Is the building used for any activities other than your business activities described above?
Yes
No
please provide details
Is the property Heritage Listed?
Yes
No
Has the building been rewired?
Yes
No
Please provide year rewired:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Has the building been replumbed?
Yes
No
Please provide year replumbed:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Street Number/Name:
Suburb:
Postcode:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
What year was the Building Constructed?
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Construction details Walls:
Brick
Concrete
Timber
Unknown
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Masonry
Mixed < 75% Brick/Concrete/Iron on steel
Mixed > 75% Brick/Concrete/Iron on steel
Construction details Roofs:
Iron
Slate
Tiles
Timber
Unknown
Concrete
Masonry
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Construction details Floors:
Concrete
Timber
Unknown
Iron / Steel
Brick
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Does any part of the building construction include asbestos?
Yes
No
Unsure
please provide details
Does any part of your building include cladding such as Aluminium Composite Panels or Expanded polystyrene?
Yes
No
Unsure
please provide details
Building Replacement Value:
$
Contents Replacement Value:
$
Location 3
Do you Own the Premises?
Yes
No
Do you occupy the building for your declared business activities (e.g., Church, missionary or worship group) above?
Yes
No
Due to the response provided you cannot proceed. Please revise your response or give us a call to assist
Is the building used for any activities other than your business activities described above?
Yes
No
please provide details
Is the property Heritage Listed?
Yes
No
Has the building been rewired?
Yes
No
Please provide year rewired:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Has the building been replumbed?
Yes
No
Please provide year replumbed:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Street Number/Name:
Suburb:
Postcode:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
What year was the Building Constructed?
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Construction details Walls:
Brick
Concrete
Timber
Unknown
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Masonry
Mixed < 75% Brick/Concrete/Iron on steel
Mixed > 75% Brick/Concrete/Iron on steel
Construction details Roofs:
Iron
Slate
Tiles
Timber
Unknown
Concrete
Masonry
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Construction details Floors:
Concrete
Timber
Unknown
Iron / Steel
Brick
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Does any part of the building construction include asbestos?
Yes
No
Unsure
please provide details
Does any part of your building include cladding such as Aluminium Composite Panels or Expanded polystyrene?
Yes
No
Unsure
please provide details
Building Replacement Value:
$
Contents Replacement Value:
$
Location 4
Do you Own the Premises?
Yes
No
Do you occupy the building for your declared business activities (e.g., Church, missionary or worship group) above?
Yes
No
Due to the response provided you cannot proceed. Please revise your response or give us a call to assist
Is the building used for any activities other than your business activities described above?
Yes
No
please provide details
Is the property Heritage Listed?
Yes
No
Has the building been rewired?
Yes
No
Please provide year rewired:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Has the building been replumbed?
Yes
No
Please provide year replumbed:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Street Number/Name:
Suburb:
Postcode:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
What year was the Building Constructed?
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Construction details Walls:
Brick
Concrete
Timber
Unknown
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Masonry
Mixed < 75% Brick/Concrete/Iron on steel
Mixed > 75% Brick/Concrete/Iron on steel
Construction details Roofs:
Iron
Slate
Tiles
Timber
Unknown
Concrete
Masonry
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Construction details Floors:
Concrete
Timber
Unknown
Iron / Steel
Brick
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Does any part of the building construction include asbestos?
Yes
No
Unsure
please provide details
Does any part of your building include cladding such as Aluminium Composite Panels or Expanded polystyrene?
Yes
No
Unsure
please provide details
Building Replacement Value:
$
Contents Replacement Value:
$
Location 5
Do you Own the Premises?
Yes
No
Do you occupy the building for your declared business activities (e.g., Church, missionary or worship group) above?
Yes
No
Due to the response provided you cannot proceed. Please revise your response or give us a call to assist
Is the building used for any activities other than your business activities described above?
Yes
No
please provide details
Is the property Heritage Listed?
Yes
No
Has the building been rewired?
Yes
No
Please provide year rewired:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Has the building been replumbed?
Yes
No
Please provide year replumbed:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Street Number/Name:
Suburb:
Postcode:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
What year was the Building Constructed?
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Construction details Walls:
Brick
Concrete
Timber
Unknown
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Masonry
Mixed < 75% Brick/Concrete/Iron on steel
Mixed > 75% Brick/Concrete/Iron on steel
Construction details Roofs:
Iron
Slate
Tiles
Timber
Unknown
Concrete
Masonry
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Construction details Floors:
Concrete
Timber
Unknown
Iron / Steel
Brick
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Does any part of the building construction include asbestos?
Yes
No
Unsure
please provide details
Does any part of your building include cladding such as Aluminium Composite Panels or Expanded polystyrene?
Yes
No
Unsure
please provide details
Building Replacement Value:
$
Contents Replacement Value:
$
Location 6
Do you Own the Premises?
Yes
No
Do you occupy the building for your declared business activities (e.g., Church, missionary or worship group) above?
Yes
No
Due to the response provided you cannot proceed. Please revise your response or give us a call to assist
Is the building used for any activities other than your business activities described above?
Yes
No
please provide details
Is the property Heritage Listed?
Yes
No
Has the building been rewired?
Yes
No
Please provide year rewired:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Has the building been replumbed?
Yes
No
Please provide year replumbed:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Street Number/Name:
Suburb:
Postcode:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
What year was the Building Constructed?
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Construction details Walls:
Brick
Concrete
Timber
Unknown
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Masonry
Mixed < 75% Brick/Concrete/Iron on steel
Mixed > 75% Brick/Concrete/Iron on steel
Construction details Roofs:
Iron
Slate
Tiles
Timber
Unknown
Concrete
Masonry
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Construction details Floors:
Concrete
Timber
Unknown
Iron / Steel
Brick
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Does any part of the building construction include asbestos?
Yes
No
Unsure
please provide details
Does any part of your building include cladding such as Aluminium Composite Panels or Expanded polystyrene?
Yes
No
Unsure
please provide details
Building Replacement Value:
$
Contents Replacement Value:
$
Location 7
Do you Own the Premises?
Yes
No
Do you occupy the building for your declared business activities (e.g., Church, missionary or worship group) above?
Yes
No
Due to the response provided you cannot proceed. Please revise your response or give us a call to assist
Is the building used for any activities other than your business activities described above?
Yes
No
please provide details
Is the property Heritage Listed?
Yes
No
Has the building been rewired?
Yes
No
Please provide year rewired:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Has the building been replumbed?
Yes
No
Please provide year replumbed:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Street Number/Name:
Suburb:
Postcode:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
What year was the Building Constructed?
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Construction details Walls:
Brick
Concrete
Timber
Unknown
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Masonry
Mixed < 75% Brick/Concrete/Iron on steel
Mixed > 75% Brick/Concrete/Iron on steel
Construction details Roofs:
Iron
Slate
Tiles
Timber
Unknown
Concrete
Masonry
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Construction details Floors:
Concrete
Timber
Unknown
Iron / Steel
Brick
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Does any part of the building construction include asbestos?
Yes
No
Unsure
please provide details
Does any part of your building include cladding such as Aluminium Composite Panels or Expanded polystyrene?
Yes
No
Unsure
please provide details
Building Replacement Value:
$
Contents Replacement Value:
$
Location 8
Do you Own the Premises?
Yes
No
Do you occupy the building for your declared business activities (e.g., Church, missionary or worship group) above?
Yes
No
Due to the response provided you cannot proceed. Please revise your response or give us a call to assist
Is the building used for any activities other than your business activities described above?
Yes
No
please provide details
Is the property Heritage Listed?
Yes
No
Has the building been rewired?
Yes
No
Please provide year rewired:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Has the building been replumbed?
Yes
No
Please provide year replumbed:
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Street Number/Name:
Suburb:
Postcode:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
What year was the Building Constructed?
Please select
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Before 1930
Construction details Walls:
Brick
Concrete
Timber
Unknown
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Masonry
Mixed < 75% Brick/Concrete/Iron on steel
Mixed > 75% Brick/Concrete/Iron on steel
Construction details Roofs:
Iron
Slate
Tiles
Timber
Unknown
Concrete
Masonry
Iron/Steel/Aluminium on steel
Iron/Steel/Aluminium on wood
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Construction details Floors:
Concrete
Timber
Unknown
Iron / Steel
Brick
Mixed (Non Combustible)
Mixed (Full/Partial Combustible)
Does any part of the building construction include asbestos?
Yes
No
Unsure
please provide details
Does any part of your building include cladding such as Aluminium Composite Panels or Expanded polystyrene?
Yes
No
Unsure
please provide details
Building Replacement Value:
$
Contents Replacement Value:
$