Residential Strata - Questionnaire Client Code:*Name of person completing questionnaire:*Insured Name:*1) Are there any changes in the occupancy of the property?* Yes No If YES, please complete following.* Owner Occupied Holiday Home Standard Rental Holiday Rentals 2) Have there been any material changes to fire and theft protection alarms, devices and the like during the past 12 months?* Yes No If YES, please advise full details.3) Have there been any material changes to common property (i.e. lifts, escalators, pools, gyms, etc) and the like during the past 12 months?* Yes No If YES, please advise full details.4) Is there any history of flood damage at the insured location(s)?* Yes No If YES, please advise full details.Loss of Rent / Temporary Accommodation Expenses This section of the Policy is designed to protect loss of rent and/or meet temporary accommodation expenses in the event of damage to the premises. You will need to advise us of the estimated rental income for next 12 months plus an allowance for any increase which would have applied during the period of repairs and/or or re-building.5) Estimated Rental Income $ (include %)*Machinery Breakdown6) The level of cover and sums insured must be reviewed to ensure they are adequate and continue to meet your requirements. Please advise any changes that are required.*7) Have you installed new machinery / equipment in the last policy period?* Yes No If YES, please advise full details.Legal Liability and Office Bearers Liability8) Number of Office Bearers*Insurance Policies don’t automatically cover liabilities assumed under Contracts. Would you please forward to us any existing, or new, Contracts for review so we can take the appropriate steps to protect your interests.9) Do you engage a Professional Body Corporate Management Service? Yes No If YES, who?Fidelity Guarantee10) Do you require cover for theft or embezzlement of money and cash?* Yes No If YES, what limit is required $Voluntary Workers Compensation11) Do you engage the services of any voluntary workers?* Yes No If YES, What is the type of work performed?How many workers are engaged?*What is the estimated annual payments to workers $ ?*Claims Declaration12) Details of any claims that have occurred, but have not yet been reported.*13) After specific inquiry, details of any facts, circumstances or incidents (other than those already disclosed, notified to your insurer) which could give rise to a future claim.*All changes or inclusions of any sort or type, including limits or sums insured shown, will take effect from the policy's expiry date unless you request otherwise.Office Message RecipientSelect the office you want to which you wish to send your message* Maroochydore Townsville Proserpine Mackay Ingham Information we have provided to Steel Pacific Insurance Brokers, is to the best of our knowledge correct. Please type your name below:*CAPTCHACommentsThis field is for validation purposes and should be left unchanged.Δ