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Fill in this form for a house insurance policy quote.
This form may take about 20-30 minutes to fill in and we recommend you have any relevant property documentation on hand. You can:
Filling in this form should give us all the information we need to provide a quote, but if we need any further information we will contact you as soon as possible.
e.g. spouse, partner, parent, friend
Providing this date helps us ensure that we advise if we're able to offer cover within your required timeframe. If you require confirmation in the next 3 business days, please call us on 0800 800 627.
If you require insurance to start in the next 3 business days, please call us on 0800 800 627. Otherwise, we will be in touch within 30 days of settlement.
This relates to properties in Christchurch City, Selwyn District, or the Waimakariri District, and may affect the type of cover we may be able to offer. You can search your property's technical category at propertysearch.canterburymaps.govt.nz
Maximum 5 files (JPG, PNG or PDF); up to 20 MB per file.
Please refer to our House Insurance Application Guide to answer these questions.
Choose the type of material most commonly used.
Include everything that is attached. Do not include decks, balconies, detached garages, detached carports, detached sleepouts, sheds or pergolas
Toilets not already counted in bathrooms and ensuites.
A self-contained unit has a bathroom, kitchen and sleeping facilities which can be used as a separate dwelling to the main house.
Make sure to add unit description, number of units and floor area per unit.
Let us know whether the sleepout is attached or detached and whether it comes with or without facilities.
We need to know their sizes as well as whether they are made of concrete or fibreglass.
Please let us know if lighting is present and which type of tennis court it is (Bitumen, concrete, synthetic grass, etc.)
Minimal: approximately 500m2 or less; Average: approximately 500m2 - 750m2; Extensive: approximately 750m2 - 1,000m2
Minimal: less than 25m2; Average: 25m2 - 50m2; Extensive: 50m2 - 100m2
Minimal: approximately 10m2; Average: approximately 20m2; Extensive: approximately 40m2
E.g. sauna, solar hot water, solar electricity, home automation, etc.
Small stock are sheep, alpacas and llamas.
Large stock are cattle, horses and deer.
Please include for each item a description, size, and estimated cost to rebuild.
Please tell us whether the property is self-managed or managed by a property management agency. If you are using an agency, please give us more details.
If no, please tell us when the next tenancy is due to commence.
Landlord's Property is any appliance (including garden appliances), item of furniture, drapery or blind that you own and remains in your property within the residential boundaries of the property's address for the tenant's use, while the house is rented.
This may include a notice recorded on a property's title, such as a Section 36 or 72, which could affect natural hazard cover under your insurance. These details may also be noted in a property's LIM (Land Information Memorandum) report.
Dux Qest is a black plastic pipe plumbing system that was used in New Zealand in the late 1970s to early 1980s.
(e.g. if you have a mortgage your bank would be an interested party in your property)
When you make a claim on your House Insurance, you'll need to pay an excess. The standard excess for House insurance, irrespective of occupancy, is $500.
An additional excess may also apply in certain situations. Please read your policy documents for more information.
If you’ve also chosen a voluntary excess, you'll pay both the compulsory and voluntary excess amounts when you make a claim. The insurance will cover the rest. Choosing a voluntary excess might lower your annual premium.
Voluntary excesses apply in addition to the standard policy excess.
Please let us know how much you'd like to insure your contents for.
When you make a claim on your Contents Insurance, you'll need to pay an excess. The standard excess is $500.
E.g. jewellery over $8,000 per item or $40,000 in total, sporting equipment over $5,000 per item, bicycles over $8,000, works of art over $25,000 each. Please provide an item description and the sum it should be insured for.
The information sought by this question is subject to the rights set out in the Criminal Records (Clean Slate) Act 2004.
If you would like to pay by Direct Debit, we will send you a direct debit set up form. Or you can phone us on 0800 800 627.
You can pay your premiums annually, six-monthly, quarterly or monthly. Six-monthly payments include a 3% payment administration fee and quarterly or monthly payments include a 6% fee.
Please note, Internet banking is only available when paying in an annual lump sum.
Please note, payment by credit card is only available when paying in an annual lump sum. To receive your quote, please complete and submit this form. After reviewing your quote, please phone us on 0800 800 627 to set up payment by credit card. Please note a 1.75% surcharge applies to credit card payments.
I understand that I have a duty to disclose all information that Medical Insurance Society Limited (MAS) may want to take into account in deciding whether or not to accept my application and if so, what terms. I confirm that:
I understand that if I have not disclosed all relevant information that I know, MAS may decline a claim I make under this policy, cancel the policy or treat the insurance as being invalid from the beginning.
Medical Insurance Society Limited has a Financial Strength Rating of A from approved rating agency S&P Global Ratings Australia Pty Ltd and this reflects our ability to pay claims.
I understand that:
I authorise MAS to give or obtain personal information about me (relevant to my insurance) to or from others including but not limited to the Insurance Claims Register Limited.