DUX - House Insurance Quote Form

This form is to be completed to allow the DUX team to sort a quote for you for house insurance, either for an existing property, or one you are looking to buy.

Please complete this as best you can, the DUX team will be in touch to help with any areas you are not able to answer yet.

First Step:

We need to work out the potential sum insured for the property. Your options are to either book an insurance valuation (we can recommend a valuer) or complete the Free Cordell Online Calculator. For the calculator, please go to the following link (opens in a new tab), complete this as best you can for the property and then email it to us.

https://www.vero.co.nz/personal-insurance/house-insurance/cordell-calculator.html

If you are getting a valuation, or the online calculator cannot be completed, let us know and we will work with you to sort a solution.

On the form below, any questions with * are required. If you don’t know the answer to a required question, select any answer and then note this in the notes box.

Section 1
Owners - This section is for who will own the policy.
What is the best phone number to get you on if we have any questions?
Policy Owner 1
The first person who will be on the insurance policy.
Policy Owner 2
The 2nd person who will be on the insurance policy. (if applicable).
If there are any other names that need to go on the policy - trusts or companies or if there are more than 2 people who will own the policy. please enter below.
Claim Free?
Are all policy owners Claim free for General Insurance in the past 12 months? - If no, please add details in the notes.
Over 50?
Are any of the policy owners over 50 years of age? Tick all that apply.
Add any details of claims in the past 12 months.
House details
Please enter the address of the house to quote on.
Lifestyle Block /Farm?
Is the property a Lifestyle block or a Farm?
Multi Unit Dwelling/ Bodycorp
Is the property part of a multi unit dwelling, where it is connected to another property or is it part of a bodycorporate? If yes, we will email with more questions.
Potential Damage
Please confirm the following (with the Vendor / Agent if you are purchasing or yourself if you already own the property) "Does the property have or has the property ever had any damage from Flooding, Landslips or Earthquakes."
Where did you get the Sum insured figure from (or will get it from)? Cordell? Valuation? other? if other please explain in final notes.
If you know the Sum Insured figure for us to quote on please enter below:
If you know the floor area in square metres please enter it below (if you don't know, we can likely find it out for you).
How many separate dwellings are there for the house? If you are not sure if there is more than 1, please add in the final notes.
Pre 1945?
Was the house built before 1945? if so we will need to get some more information.
What year approx was the property built?
What material is the roof made of? if not sure, state this.
Condition of the roof.
Pre 1945 3 - Internal Walls
We need the details of what the internal walls are made of and what % of the total walls are made of this item (approx) and the condition.
Pre 1945 4 - External Walls
What are the external walls made of and what percentage for each?
Enter materials and %
Pre 1945 5 - Improvements
We need some more info on additional changes to the house.
Pre 1945 5a - Repiled?
Has the property been repiled?
Pre 1945 5b - Chimney Rebricked?
If the property has a Chimney, when was it rebricked?
Pre 1945 5c - Property Replumbed?
Has the plumbing been replaced at the property?
Pre 1945 5d - New Kitchen?
Has the property had the original kitchen replaced?
Pre 1945 5e - New Bathroom?
Has the original bathroom been replaced at the property?
Pre 1945 6 - Electrical
We need to know if the property has been rewired or not.
Pre 1945 6a - Rewired?
Has the property been rewired?
If rewired, what year? If not sure, enter "Not sure"
Pre 1945 6c - Electrical Certificate?
Does the property have a recent Electrical Certificate? If yes, we need a copy, if not, it will be a condition of insurance, and we will help you sort this.
Final Details
Some final info we need
We normally quote on $750 excess as its the best mix of discount and excess, but there are other options. If you want us to choose a different excess, please select below:
If this quote is for a tender that is coming up, please enter the date of the tender below, so we can make sure we get it done with enough time before your offer.
If DUX is not sorting the mortgage or the property already has a mortgage please confirm the mortgage lender below.
Add any notes here for items that did not fit the form above properly, or any other info we need to know.
Town Water Supply
Is the property on the Town Water supply?
Who will be living in the property once its insured?
Confirmation
As this is gping to end up with a formal quote and we are not having you sign anything yet, we need to get the following confirmed:
Confirmation
I/We (the named policy owners above) confirm that the information provided is correct to the best of our ability and that from this information DUX Financial will prepare us an insurance quote.