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Home Insurance Application Form

B.REQUIRED COVER
Excess(Standard): For what value do you wish to insure your building?
Note: Building cover amount only includes the building and excludes the land amount
C. POLICY PROPERTY DETAILS
Please provide details of the property your are insuring
D. MORTGAGE PROVIDER
E. INSURANCE REQUIREMENTS
F. REFERRING AGENT
G. DECLARATION
By ticking this box, I agree that I have
*Complete this form answering all the required question, honestly and accurately.
*Received and read a copy of the Home & Contents Policy Product Disclosure Statement that was provided with this application.
*Understand my duty to inform Arcadia of any changes(s) to details provided during the policy period.
*Understand the completion is a request for Arcadia to produce a Home and Contents quotation on the property. Once a quotation has been produced it will be sent to my email address that I have provided.

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