When submitting this form, you confirm the following.

• The rent on this property is not currently in arrears.
• You are not aware of any pre-existing damage to the property, which may be covered by this policy
• You do not have any reason to believe that the rent will fall into arrears in the future.

You agree that you have read and understood your duty of disclosure requirements and the Product Disclosure Statement which is available on this website or by contacting our office. You also confirm that your property is currently being professionally managed by a Real Estate office or Property Management Specialist. Coverage is not in place until this form has been accepted and confirmed in writing to you via the e-mail address you have. We will endeavour to provide same day return e-mail service. Once cover is confirmed, your Invoice and summary of cover is automatically forwarded to your property manager for payment.