Back to PSBG homepage

  Kiwisaver

  Insurance Plans
 
 
 
    Annual Report
Prospectus
    Participation Forms
    Contact Us
     



























 
Professionals Home Plan

Domestic Package Insurance

    
 
Contact Details
Name*
Address*
Phone* Fax
Email* Date of Birth*
* required        
 
House Details
Address
Year Built
Occupancy
Total Floor Area (square metres)
Replacement Value (Holiday Homes and Rental Properties)
    
 
Contents Details
Address
Sum Insured
Occupancy
Professionally Installed alarm Yes     No
Specified Items
(over $5000)
   

Motor Vehicle Details
  Vehicle 1 Vehicle 2
Year
Make
Model
Registration

Market Value

 
Have any modifications been made to the above vehicles?   Yes No
Has any driver been convicted of a driving offence?  Yes No
Have any drivers been involved in an at fault accident?  Yes No
 
Boat Details 		 
Hull, Fixtures & Fittings
Dinghy, Tender or other small craft
Motor(s)
Trailer
Accessories
Racing Risks
Purpose and Area of use

How do you wish to receive your quote?

Please note
that this form is for the purpose of providing a quotation only. All quotes are subject to the completion of the Insurer's proposal form and acceptance by the Insurer(s).
 
  
 

 
    For more information or assistance contact:    
 

Aon New Zealand
Professional Risks
PO Box 2517, Wellington 6140.

Phone: 04 819 4000
Fax: 04 819 4106 
Email: psbg@aon.co.nz