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Online Enquiry

Please select the type of product you wish to insure*
You must select a product type

 
Thank you for choosing to enquire about Insurance from MHIA. Before we collect any information, we wish to advise you that MHIA's home owner policies do not cover for flood and that we have obligations under Australian Privacy laws to protect all of your personal information. By continuing you agree that you have read MHIA's flood Definition and the Privacy Statement. You can read our Flood Definition and our Privacy Statement by clicking the links below.
Thank you for choosing to enquire about Insurance from MHIA. Before we collect any information, we wish to advise you that we have obligations under Australian Privacy laws to protect all of your personal information. MHIA only insure motorhomes used for recreational purposes. MHIA do not insure motorhomes used as your daily drive. By continuing you agree that you have read MHIA's Privacy Statement and you are not attempting to insure your daily drive. You can read our Privacy Statement by clicking the link below.
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Title*
Please select a title

First Name*
Please enter your first name

Surname*
Please enter your surname

Date of Birth*
/ / Date of birth is required

Address (Postal)*
Please enter your postal address

Suburb*
Please enter your suburb

State*
Please select your state

Postcode*
Please enter your postcode

Phone Number*
Please enter a valid phone number, comprised of 10 digits, including area code e.g. 02

Email Address*
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Would you like to list anyone else on the policy?*
Please choose No or Yes

Title*
Please select a title

First Name*
Please enter your first name

Surname*
Please enter your surname

Date of Birth*
/ / Date of birth is required

 
Park Name*
Please enter the name of your park

Site Number*
Please enter your site number

Site Address*
Please enter your site address

Address where motorhome is usually kept? *
Please specify an address

Make*
Please specify a make

Model*
Please specify a model

Type of Motorhome*
Please select a type

Type of Cladding*
Please select your type of cladding

Roof Type*
Please select your type of roof

Year Built*
Year built is required

Is this motorhome fully converted or a purpose built motorhome?*
Please select no or yes

Gross Vehicle Mass (GVM)*
Please select a GVM class

What class of license is required to drive this vehicle?*
Please select the class of license

How many years have you held this class of license?*
Please select number of years

Registration Number*
Please enter registration number

Did you buy your motorhome new?*
Please select no or yes

Year of Purchase*
Year purchased is required

Purchase price*
Please enter the purchase price

Amount Insured (Vehicle)*
Please enter the amount you wish to insure

Amount Insured (Trailer)*
Please enter the amount you wish to insure

Are there any aftermarket accessories fitted to the vehicle?*
Please select no or yes

List of Accessories

Amount Insured (Accessories)*
Please enter the amount you wish to insure

Security
Please select the appropriate response

Replacement Value*
Please enter a home replacement value

Replacement Value (Annexe)*
Please enter an annexe replacement value

Replacement Value (Other Structures)*
Please enter a home replacement value

Contents Value*
Please enter a contents replacement value

 
Has any insurer declined to insure you or declined to renew a policy?*
Please select yes or no

Have you made any insurance claims in the last 5 years?*
Please select yes or no

Are you an undischarged bankrupt?*
Please select yes or no

Have special conditions and/or an increased excess ever been imposed on a policy?*
Please select yes or no

Have you had any prior claims rejected?*
Please select yes or no

Have you ever been charged with any criminal offences?*
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Is there any unrepaired damage or existing hail damage to the property?*
Please select yes or no

Details of above*
Please explain why you answered yes to one of the above questions.

What is your home primarily used for?*
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Who is your current insurer?*
Please select a valid Insurer

Have you held previous insurance in the last 12 months?*
Please select yes or no

Policy Number
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No Claim Bonus (NCB) Rating (1 being the highest)*
Please select number of years

Have you had any accidents in the last 5 year?*
Please select no or yes

Have you had any fines in the last 5 year?*
Please select no or yes

Have you had any motor vehicle claims in the last 5 year?*
Please select no or yes

Have any of the following been applied to your drivers license or permit?*

Please select all that apply

Will anyone under the age of 25 be driving the vehicle?*
Please select no or yes

Do you agree that anyone under the age of 25 would not be covered?*
Please agree

Age of the youngest driver?
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How did you find out about us?*
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Would you be interested in car insurance from MHIA?
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