To obtain a quote on Owner Builder Insurance complete the following:

Name
Mailing Address	State select NSW ACT NT QLD SA TAS VIC WA Postcode
Phone Number/s
Email

Address of project site	as above, or other (advise location below):
	State select NSW ACT NT QLD SA TAS VIC WA P/code
Is the site north of the 26th Parallel?	no yes
Building type	Single Storey House  Multi Storey House Villa  Unit Duplex
Project Description	New Home Construction  Extension/Renovation Other :
Has the project already commenced?	no yes
Estimated Project Start Date	// (dd/mm/yyyy)
Owner Builder Project Sum Insured (Replacement Value)	$
if the project is an extension or renovation what is the rebuild value of the existing house?	$
Plant & Equipment	*automatically covered for $20,000
Hand Tools	Tools Value: $ *if you require cover for your own tools
Public Liability Limit	$ 5,000,000  $10,000,000  $20,000,000
Details of any adverse or high risk exposures your project or site may be subject to
Are you (or your partner) a qualified tradesman?	yes no    If you'd also like a discounted quote on your business insurance please advise the following : Business/Trade Description : Turnover Estimate : $ Number of Employees (including yourself) :
Have you ever had insurance cancelled or declined?	no yes
Comments and/or additional information
How did you hear about us?	referred by :
	Yellow Pages,  White Pages, Google
	Linked from website :
	other :