TGN Contents insurance quote form

Risk Start Date

Renewal Date

Customer name (for eldest policyholder)

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Customer - Date of Birth

Date of birth for oldest policyholder

Have you made any contents related claims within the last 12 months?

Please provide details of the claim -

Contents Location From the drop-down below, please select the option that accurately reflects where the contents are located. Select unoccupied only if the home where the contents are located will be (or has been) vacant for a period greater than 60 days.

Where are the contents located?

Who uses the contents?

Definitions for Who uses the contents

The Insured: The insured is the sole occupant of the home. This includes the insured's immediate family
The insured and my single tenant/family: The insured occupies the home with a single tenant and/or the tenants immediate family
The insured and up to 2 unrelated flatmates: The insured occupies the home with up to 2 unrelated flatmates
The insured and more than 2 unrelated flatmates: The insured occupies the home with 2 or more unrelated flatmates
My tenant - single tenant/family: The insured is the landlord and does not live at the property. The contents are used by a single tenant and/or the tenant's immediate family
My tenant - multi and unrelated: The insured is the landlord and does not live at the property. The contents are used by multiple and unrelated tenants

Who uses the contents in holiday home?

Please provide full details for contents location?

Does this home have a security alarm?

What type of alarm is being used?

Contents value -

Include the total value of all Contents located at the property. Make sure the value includes any contents in the garage and any outbuildings. An approximate assessment for the average home is $600-900 per square metre depending on specification. This amount includes GST. Here is a link to a Household Contents Value Checklist - click here - which is a useful way to realise the true value of your contents, which is usually more than you anticipate. We also recommend taking a video and photos of your property and contents and keeping them in a cloud file storage , this helps to prove ownership and the value of your loss.
NOTE - exclude the value of any specified items listed below.

Contents value - $*

Specified Items - Certain items of Contents are only covered up to a pre-determined policy limit. Some of the policy limits can be increased if specifically requested. The items that can be specified for higher limits are listed in the 'Limits applying to specific items of Contents'. It is important you specify each item individually. Click here for a link to the guide.

Are there any contents to specify*

Specified Contents list*

Premium Excess Options*

An additional 'Tenanted Excess' will be apply if the property is let to tenants other than you, your husband, wife, partner & family

Duty of Disclosure
Subject to any rights you have under the Criminal Records (Clean Slate) Act 2004, the information given is in every respect correct and complete and all material information has been disclosed to Vero, whether the information is asked for or not. Material information is information that might influence our decision to insure you and if so on what terms and / or premium. If you have any doubt as to whether a fact is material then it must be disclosed. The duty to disclose all material information occurs prior to the commencement of cover, if the contract is varied and prior to each renewal. Failure to disclose all material information may result in Vero avoiding your insurance policy. This means your policy would be deemed never to have existed and any claims would not be payable.

The information contained in this document shall be the basis of the contract between you and Vero, and you are willing to accept cover subject to Vero’s policy terms, conditions, exclusions and any special
terms that Vero may require.

Insurer Financial Strength Rating
Vero Insurance New Zealand Limited has been given an A+ Insurer Financial Strength. Rating by Standard and Poor’s. The rating scale is:
Ratings from ‘AA’ to ‘CCC’ may be modified by the addition of a plus (+) or minus (-) sign to show relative standing within the major rating categories.

The rating scale above is in summary form. The full version of this rating scale can be obtained from www.vero.co.nz

AAA Extremely Strong
AA Very Strong
A Strong
BBB Good
BB Marginal
B Weak
CCC Very Weak
CC Extremely Weak
SD Selective Default
D Default
R Regulatory Supervision
NR Not Rated

Privacy Act 1993
Vero has collected your personal information in order to evaluate your insurance requirements for the purpose of deciding whether to issue insurance cover and, if so, on what terms. Failure to provide
any personal information requested by Vero may result in your application for insurance being declined.

Vero has also collected your personal information in order to monitor and service your ongoing general insurance requirements, conduct market research, data processing and statistical analysis.
Unless you notify Vero that you disagree, the information you supply may also be used by Vero to provide you with information about other facilities, products and services.

Your personal information is held by Vero. In accordance with the Privacy Act 1993, individuals have a right to request access to and correction of their personal information (a fee may be payable) by contacting Vero, 48 Shortland Street, Auckland 1010.

Authorisation
You authorise Vero to give to and obtain from other Insurance Companies, Insurance Brokers, the Insurance Claims Register Ltd or any other party, any information relating to this or any other insurance held or previously held by you, and any claim(s) made by you, and any information you have provided now or previously for the purpose of payment.

You also authorise Vero to disclose personal information about you to it’s related companies (as defined by the Companies Act 1993), all it’s present and future contracted insurance product manufacturers
and / or authorised representatives for these purposes.

Signature

Date*

DayMonthYear

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Contents Insurance quote form