PMH - Strata Insurance Quote
On-line Strata Insurance Quote
Thankyou for considering our on-line strata insurance quote service. Because PMH Insurance is an insurance broker, not an insurance company, we will process your quote with major insurance companies in order to find you the best deal possible.

Please fill in the following form as fully as possible, then click 'Process My Quote Request' at the end of the form. You can use the TAB key to move to the next field. We will respond with your quote as soon as we have researched the market for the best available deals that fit your requirements.

We require your permission under the privacy act to release your information to insurers in order to obtain a quotation. Do we have your permission to do so.
Yes you have my permission
Please tick the box
Read our privacy notification

About the property you wish to insure:

What is the construction of the walls?  
What is the construction of the roof?  
What is the number of storeys (other than ground floor)?  
Age of building:   Years
How many lifts and/or escalator and/or hoists are there?  
How many swimming pools and/or spas are there?  
Are there any other recreational facilities other than swimming pools and / or spas?   No     Yes
If Yes, what are they?  
Are any parts of the buildings used for any purpose other than residential?   No     Yes
If Yes, describe what that part is used for:  
Are the buildings managed by an authorised strata manager or strata management company?   No     Yes
If Yes, what is the name of the person or company?  

Buildings and Common Property:
   
What is the replacement cost of your building? $

Liability:
   
Please select the the amount of Liability cover required:   $10,000,000
$15,000,000
$20,000,000

Fidelity Guarantee:
   
What is the amount of Fidelity cover required? $

Office Bearers Liability:
   
What is the amount of Office Bearers Liability cover required? $

Personal Accident:
   
Cover is for injury while engaged in administrative or light maintenance duties arranged by the Body Corporate.    
Do you want cover for Personal Accident?   No     Yes
If Yes, how many units of cover do you require?   units

Workers' Compensation (Available in NT, WA and Tas. only)
   
Do you want cover for Rent Default and Tenant Damage?   No     Yes  
If Yes, for what amount? $



Questionnaire:
1. Have any of the applicants suffered any losses or had any claims made against them within the last 5 years, whether claimed or not?   No     Yes
If Yes, complete the following details:    

Type of loss or claim Date   Amount Name of insurer (if applicable)
$
$
$


2. Have any of the applicants or any person who will receive insurance cover under the proposed policy, been charged with or convicted of any criminal offenses during the last 10 years?   No     Yes
If Yes, complete the following details:  

Please answer questions 3 to 5 only if cover for Fidelity Guarantee or Office Bearers Liability is required.
   
3. How many people are members of the council or committee or governing body of the committee?
 
4. Of these people, how many are owners of a unit/lot or flat?
 
5. Is a member aware of claims made or circumstances which may result in claims being made against them or their predecessors in their capacity as members of the committee or the governing body?
  No     Yes
If Yes, provide the changes:  

Please answer questions 6 to 9 only if cover Workers' Compensation is required.
   
6. Do you employ a caretaker?   Yes    No
If Yes, state the estimated annual salary or wages:
$
7. Do you employ any other persons in connection with the building?   Yes    No
If Yes, state their occupations
  Estimated annual salary or wages
$
$
$
8. Do you employ any other persons in connection with any other trade or business?
  Yes    No
If Yes, state their occupation(s) / trade(s)
 
9. Do you have a Workers' Compensation policy for these trade(s) or business(es)?
  Yes    No
If Yes, state the name of the insurance company and policy number
 


Any other notes you wish to include:





Contacting you about your quote:


In order to select the most appropriate cover for you, it will be important to discuss the details of the quotes in person. Please make sure you leave a contact phone number and best time to call to facilitate this.


Your name:
Company name:
Your phone number (please include area code):
Best time(s) to call:
Please send my quote by (select at least one): Email    phone    fax    mail
Your email:
Your fax number:
Your postal address:


PMH #UCASE(form.subject)#
#RepeatString("=", 80)#

CONTACT DETAILS
#form.name#
Company: #form.companyname#

Phone: #form.phonenumber#
Fax: #form.faxnumber#
Best time to call: #form.callbesttime#

Send quote via: #form.quotemethod#

Email: #form.email#

Postal Address: #form.postaladdress#

#RepeatString("=", 80)#
PROPERTY DETAILS Wall construction: #form.walls# Roof construction: #form.roof# Number of storeys: #form.storeys# Age of the building: #form.age# Lifts,escalators and or hoists: #form.lifts# Swimming pools and or spas: #form.pools# Other recreational facilities: #form.recreationfacilities# Details: #form.recreationdetails# Part of the buildings used for any purpose other than residential: #form.otherres# Details: #form.otherresdetails# Buildings managed by an authorised strata manager or strata management company: #form.buildingmanage# Name of the person or company: #form.buildingmanagedetails#
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BUILDINGS AND COMMON PROPERTY Replacement cost of your building: #DollarFormat(form.buildingreplacementcost)# LIABILITY Cover required: #form.liability# FIDELITY GUARANTEE Cover required: #DollarFormat(form.fidelity)# OFFICE BEARERS LIABILITY Cover required: #DollarFormat(form.officebearer)# PERSONAL ACCIDENT Personal accident cover required: #form.accidentcover# Units required: #form.accidentcoverunits# WORKERS COMPENSATION Rent default and tenant damage required: #form.compo# Cover required: #DollarFormat(form.compoamount)#
#RepeatString("=", 80)#
QUESTIONNAIRE Have any of the applicants suffered any losses or had any claims made against them within the last 5 years, whether claimed or not: #form.losses5years# DETAILS Type: #form.loss1type# Date: #form.loss1date# Amount: #DollarFormat(form.loss1amount)# Insurer: #form.loss1insurer# Type: #form.loss2type# Date: #form.loss2date# Amount: #DollarFormat(form.loss2amount)# Insurer: #form.loss2insurer# Type: #form.loss3type# Date: #form.loss3date# Amount: #DollarFormat(form.loss3amount)# Insurer: #form.loss3insurer# Have any of the applicants or any person who will receive insurance cover under the proposed policy, been charged with or convicted of any criminal offenses during the last 10 years: #form.convicted# Details: #form.convicteddetails# How many people are members of the council or committee or governing body of the committee: #form.councilmembers# How many are owners of a unit/lot or flat: #form.ownunitflat# Is a member aware of claims made or circumstances which may result in claims being made against them or their predecessors in their capacity as members of the committee or the governing body: #form.memberaware# Details: #form.memberawaredetails# Do they employee a caretaker: #form.caretaker# Annual salary wages: #form.caretakerwages# Do you employ any other persons in connection with the building: #form.connectionemployees# OCCUPATIONS AND WAGES Occupation: #form.employee1# Wages: #DollarFormat(form.employee1salary)# Occupation: #form.employee2# Wages: #DollarFormat(form.employee2salary)# Occupation: #form.employee3# Wages: #DollarFormat(form.employee3salary)# Do you employ any other persons in connection with any other trade or business: #form.employeeother# Details: #form.employeeotherdetails# Do they have a Workers' Compensation policy for these trade(s) or business(es): #form.currentcompo# Insurance company and policy number: #form.currentcomponumber#
#RepeatString("=", 80)#
ADDITIONAL NOTES IF ANY #form.notes#
#RepeatString("*", 80)# Quote request sent: #DateFormat(Now(), "dddd dd mmmm yyyy")# at #TimeFormat(Now(), "h:mm tt")# AEST