Home Insurance

If you have any questions with this form please telephone us during office hours on 2124 6262 so we can assist you.
Your Residence
Type of residence *
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Occupied by you as *
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What year was the property approximately built? *
 
Is your residence left unoccupied for more than 3 consecutive months?
 
Is your residence finished in every respect and all permanent aperatures installed?
Is your residence protected by a burglar alarm?
Do you have any other policies with Middlesea Insurance?