Landlord Insurance Form Property Insurance PlusProtecting Your Investment Request for PIP Landlord CoverDate MM slash DD slash YYYY Real Estate Agent: Property Manager: Property Manager's Email Address: Issue invoice to: Property Manager Landlord LANDLORD DETAILSLandlord's name: Mr Mrs Ms Dr First Name Last Name Landlord’s personal postal address: Landlord’s contact number: (m)Landlord’s email address: RENTAL PROPERTY DETAILS (property to be covered)Property Address: Street Address City / Suburb StateStateNew South WalesQueenslandVictoriaPost Code Date Cover to Commence (cover cannot be backdated): MM slash DD slash YYYY What is the weekly rent at this property($)?BUILDING INSURANCEIf the property is a House – complete the following Building insurance – What amount does the Landlord want the property insured for?$ Δ