Home Host (HB)

Name of Insured *

Contact Name

if different from Insured Name

Date of Birth of Oldest Insured *

Email *

example@example.com

Mobile Phone *

Postal Address *

This is just for our records - we will email your policy documents & renewals

Name of Interested Party *

ie. Name of bank

Insured Address *

The address of the property you are seeking to insure. Please include Suburb, State & Postcode

Other than Guest Accommodation, are there any other business activities conducted from the home? *

If yes, please describe: *

Does the guest accommodation occupy more than 50% of your residential property? *

What is the estimated Annual Income (before expenses) of your guest accommodation business? *

Property type *

Describe the guest accommodation at your property

ie: Is the guest suite in a granny flat, or under the same roof as the family home? Does it have a separate entrance? Are there any shared areas?

Is the home watertight, structurally sound, secure and well maintained?

YES NO

What is the majority of the outside of the building you live in made of? *

This relates to the property's EXTERIOR walls. Please select the majority of material used on exterior

Roof *

Number of levels *

What is the lowest floor in your home? *

Exactly what floor is your apartment on? *

What year was the home you live in built? *

This relates to the construction year of the OLDEST building on the property, not the age of any renovations or extensions

How close is the property located to bushland/farmland? *

Is the home on more than 2 hectares (5 acres)? *

How is the home occupied? *

Is this your primary residence? *

Is the property Strata Title? *

The Strata Group will have insurance that covers the building. In this case you will only require Contents cover.

Would you like flood cover? *

What best describes security on the property's externally accessible doors? *

None Deadlocks only Keycard access only Deadlocks & Keycard Access

What best describes security on the property's externally accessible windows? *

None No accessible windows Key-operated locks only Security bars/screens only Security bars/screens & key operated locks

Alarm Security *

None Unmonitored Burglar Alarm Monitored Burglar Alarm

How much would it cost to replace your home building and all structures on the property not including the land value? *

Need help calculating your Building value? Use our handy calculator below

Building value calculator

Disclaimer

If you have a mortgage, what is the name of your financial institution?

How much would it cost to replace all of your personal home contents, business equipment and stock/merchandise? *

The Sum Insured should represent the replacement value of all portable furnishings, carpets and window coverings

Do you need to insure : *

	Yes	No
An item/pair/set of jewelry worth more than $2,500?
A collection/set other than jewelry worth more than $2,000?
Painting/works of art worth more than $2,000?

Please provide a full list of these items together with their replacement value:

	Item Description	Value
Item #1
Item #2
Item #3
Item #4
Item #5

Do you have any of the following Contents items worth more than $2,000 any one item or $5,000 any one claim? *

	Yes	No
a document/s; a collection or set other than referred to in the previous question
a curio; a picture; a painting or other work of art;
an oriental rug or carpet or similar rug or carpet;

Please provide a full list of these items together with their replacement value:

	Item Description	Value
Item #1
Item #2
Item #3
Item #4
Item #5

Do you need to insure Unspecified Portable Contents away from home? (Mobile Phones and/or Money are not covered) *

Unspecified Portable Contents provides cover away from the home, anywhere in Australia for one item up to a maximum value, or a total value for a number of items any one claim. There is no need to list these items

Do you need to insure Specified Portable Contents away from home? (Mobile Phones and/or Money are not covered) *

If you have individual item/s that you would like to cover away from the home that are greater in value than the limits in Unspecified Portable cover, then please provide details for replacement value below.

Please provide the following details of Specified Portable contents

	Item Description	Value
Item #1
Item #2
Item #3
Item #4
Item #5

Would you like Accidental Damage cover? *

Accidental Damage cover is the most comprehensive cover available, and recommended for primary residences

Do you need to insure more than $1,000 cash on the premises at any one time? *

What is the maximum amount of cash on premises at any one time? *

Have you had any insurance claims in the past 3 years? *

If yes, please provide details: *

	Year of claim	Amount	Claim details
Claim #1
Claim #2
Claim #3
Claim #4
Claim #5

What level of Excess would you like to pay in the event of a claim? *

$500 $750 $1,000

Would you like to insure your turnover so that if your business was unable to operate due to damage to the property insured under this policy you would receive the income lost as a result of that damage? *

Do you have a swimming pool? *

NO YES

Does the swimming pool and pool fencing meet Council requirements? *

Does the home have a balcony/s accessible to Paying Guests? *

NO YES

Does the balcony/s meet Council requirements? *

Does the home have a wood burning fire place that Paying Guests can use? *

NO YES

Do you provide instructions on safe use of the fireplace to minimise injury or fire spreading beyond the fireplace? *

What is the maximum allowable number of Paying Guest allowed to stay at any one time? *

Do you vacate the property when guests are in residence? *

Additional Excesses may apply for guest-related claims if you are away from the property for more than 24 hours

Please provide details *

Is the property managed by a licenced property management agent? *

Do you provide Paying Guests with instructions about the use of the premises, evacuation procedures and emergency contact details? *

Do/would you allow Paying Guests to use your home as a party venue? *

When Paying Guests are in residence are your valuables and identity documents kept secure? *

Have you ever had an Insurer: *

	Yes	No
decline, refuse to renew, cancel or impose special terms or conditions on any proposal, renewal or policy held by you?

Disclosure questions *

	Yes	No
Have you ever had any criminal charges and/or convictions?
Have you ever been declared bankrupt?

If yes, please provide details: *

Commencement date of insurance *

Any other information that we might need to give you an accurate quote?

What happens next?

We will use your supplied information to find insurance that provides the best coverage and value for you and your situation. We will then email your quote with supporting documents. We aim to get your quote back to you within 1 business day, depending on time received. Please allow extra time during public holidays.

Got questions? We are only a phone call away.

1300 158 911

Ceneta Insurance Services Pty Ltd ABN: 78 133 436 254
Authorised Representative No: AR 332815 of PSC Connect Pty Ltd
ABN 23 141 574 914 | AFS License No 344648

Home Host Insurance quote application

Personal Details

Tell us about your home

Tell us about your Contents

Portable Contents

Tailor your Cover - additional premiums may apply

Claims History

Guest Accommodation Information

Declarations