Insurance Statement
Insurance Statement
INSURANCE STATEMENT
This insurance statement is for landlords, property managers and boarding house managers who can attach it to their
own tenancy agreement.
Insurance statement
Landlords must either complete this form or attach a statement containing the same information.
Address of tenancy
There is insurance covering this rental property that is relevant to tenant’s liability for damage
to premises, including damage to body corporate facilities. Yes No
The table below specifies the excess amounts of all relevant insurance policies for this property.
2. $
3. $
4. $
The insurance policy for this property is available for the tenant if they request it. This ensures that the tenant knows what
actions or omissions could invalidate the insurance policy and also helps the tenant to know what is covered by insurance and
the excess payable on the insurance policy.
If these insurance details change and the information above or the policy documents are no longer correct, you must provide the
correct information to your tenant within a reasonable time.
TEN 4700 DEC19