Cover Activation

This form needs to be completed once your tenant has been approved for cover. You must ensure that all documentation and information as requested is true and authentic.

KINDLY NOTE:

1. DOCUMENTATION UPLOADED TO THIS PLATFORM NEEDS TO BE IN PDF FORMAT

2. ALL FIELDS MARKED WITH A * ARE REQUIRED.

(You will not be able to submit this application if a required field was skipped.)

Name & Surname of person completing the activation.

Email address of person completing the activation.

The applicant declares as follows:

Carefully read through the following declarations and click the checkbox to confirm the statement. (These declarations are required, and you will not be able to submit the application if they are not all selected)

That I am entitled and/or authorised to complete the application.

That the information in the pre-approval of the tenant and this application form is in every respect true and correct.

That the information supplied in the pre-approval and the application form is material, and that the insurer will use such information to accept the risk and/or determine the monthly premium and/or provide cover subject to certain conditions.

That I unconditionally agree to inform the insurer immediately of any changes in the information supplied on the pre-approval and application form.

That the lease agreement is signed by all the parties and legally enforceable; and that a copy thereof is attached.

That the full deposit (no less than one month's rental) and first month’s rent has been received before occupation of the property, and that the tenant was not in arrears prior to moving into the leased property.

In respect of a tenant(s) currently leasing this property, that there is no arrear amount in respect of rental or deposit, and that the existing tenant(s) did pay the rental punctually for the past three months.

I will make sure of the content of the policy contract (specifically the policy schedule) and if there is anything which is unclear that I will discuss this with Mooirivier Specialised Brokers within 14 days.

I received the Statutory Disclosure Document that was send to me via email, and if I have any questions I will contact Mooirivier Specialised Brokers.

I am aware that, a comprehensive needs assessment cannot be undertaken (due to the nature of the product).

I must consider whether this product I chose is appropriate pertaining to my goals, circumstances, and needs.

I completed this application out of free will.

I understand by submitting this document it is a legal and binding document.

Address of Rental Property

Multi-line address

Country/Region

Address

City

Zip / Postal code

Tenant name & surname.

Provide the rental due date.

Upload Lease Agreement

Upload a Tenant statement if the tenant already resides in the property.

Choose one of the following options:

New policy (all new clients & mandated estate agents)

I have an existing policy

I am an Estate Agency with a group policy

Did you choose a policy option above?