body corporate domestic quesionnaire

Please complete this questionnaire to apply for Domestic Body Corporate Insurance.
YOUR CONTACT DETAILS
Your Name
Contact Phone Number
Fax Number
Website Address
Email Address
Postal Address
ADDITIONAL DETAILS
Insured/BCSP Number
Situation Address
GENERAL INFORMATION
Are there any residential lots
If Yes, how many
Are there any commercial lots
If Yes, how many
Number of stories
Year built
Year refurbished
Is it heritage listed
Is it occupied
Wall type
Floor type
NEW BUILDINGS AND REFURBISHMENTS (IF APPLICABLE)
Are all builders, contractors and tradesman off site?
Have certificates of occupancies been issued for all lots?
PROPERTY DETAILS:
Does the property have any of the following:
Lakes
If Yes, how many
Ponds/Creeks
If Yes, how many
Swimming pools
If Yes, how many
Outdoor spas or water features
If Yes, how many
Jetties or marinas
If Yes, how many
Play grounds
If Yes, how many
Gymnasiums
If Yes, how many
Tennis courts
If Yes, how many
Other recreational facilities
How many
Lifts
If Yes, how many
On site services (Eg. Laundry or Security System / Officer
If Yes, how many
FIRE PREVENTION FACILITIES
Does the property have fire sprinklers?
Does the property have fire extinguishers?
Does the property have fire hydrants?
Does the property have smoke detectors?
CURRENT INSURANCE DETAILS
What is the due date of your current insurance?  Year 
Has a renewal been offered?
Has any excess been imposed by the current insurer?
If Yes, please provide excess type
If Yes, how much was the excess $ 
CLAIMS HISTORY
Please provide the history of your claims in the last five years
Date Description Amount
 Year  $ 
 Year  $ 
 Year  $ 
POCILY DETAILS
Please provide insurance amount that is required
Buildings $ 
Common contents $ 
Legal liability
Officers bearers liability $ 
Catastrophe cover $ 
Machinery breakdown $ 


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DECLARATION

By Pressing the 'Send Questionnaire' button, we declare that to the best of my/our knowledge and belief the above statements and particulars are true and correct.