Business Pack / Commercial Property Insurance Form

Building Cover

Email

Contact Number

What year was it constructed?

How would you describe the premises?

Main or Suburban StreetWholly within a shopping centre (no external openings to outside the centre)Within a shopping centre (with external openings)Within an industrial complexWithin an office block (including on the ground or 1st floor)Within an office block (2nd floor and above)Outside metro, regional or town boundariesOther

What are the floors constructed from?

ConcreteIron/SteelBrickWoodOther / Mixed (Not Combustible)Other Mixed (Full/Partial Combustible)Tile

What is the roof constructed from?

Concrete / StoneIron / Steel / Aluminium on steelIron / Steel / Aluminium on woodMasonryExpanded Polystyrene (EPS)WoodTile / SlateAsbestosOther

What are the walls constructed from?

Concrete / StoneConcrete Tilt SlabIron / Steel / Aluminium on steelIron / Steel / Aluminium on woodBrickExpanded Polystyrene (EPS)WoodMixed greater than 75% brick / concrete / iron on steelMixed less than 75% brick / concrete / iron on steelOther

What percentage of the walls is using sandwich panels or exposed polystyrene (EPS)?

0%1%-14%15%-19%20%-29%Greater than 30

What fire protection is in the building? (Select multiple items if applicable)

Fire ExtinguishersHose ReelsSprinklersSmoke Detectors - MonitoredSmoke Detectors - Non-MonitoredHeat DetectorsFire AlarmMonitored Base AlarmFire BlanketsNone

What security does the property have? (Select multiple items if applicable)

Bars on windowsDeadlocks on doors & locks on all external windows without barsElectronic keypad/ swipe card accessSecurity fencingCCTV system installedBollards in front of glazing/display windows or roller shuttersExternal lightingLocal AlarmRoller shuttersWatchman or security guard patrolsMonitored alarm

General Building Information

Is building connected to town water?

YesNo

Does the business store any flammable goods or waste material?

YesNo

Is the building heritage listed?

YesNo

Is the property going to be unoccupied for more than 30 consecutive days over the policy period?

YesNo

Is the property more than 50% vacant?

YesNo

Does the insured do any cooking or restaurant activities?

YesNo

Claims History

Any claims in the last 3 years under the sections to be insured?
YesNo

Is there anything else that might be relevant you want to share?

YesNo