Personal Insurance Quote

Status Insurance Brokers can provide you with comprehensive cover for your personal insurance in this quote form. Please fill it in as detailed as possible.

  • Proposal for insurance quotation

  • Personal Information

  • Home Address

  • Building / Construction Information

    Please check relevant items:

  • Security Information

  • Specified Items

    E.g. jewelry, cellphones, cameras etc. - Any item out of the house)

  • Vehicle Information 1

    Motorcycle, caravan/trailer, watercraft
    Must have VESA certificate

  • Vehicle Information 2

    Motorcycle, caravan/trailer, watercraft
    Must have VESA certificate

  • Vehicle Information 3

    Motorcycle, caravan/trailer, watercraft
    Must have VESA certificate

  • Previous / Current Insurance

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Contact Details

Landline: 0860 782 887

Cell no: 061 320 8992 / 062 501 9632

Fax no: 086 568 7153

Email: info@statusib.co.za

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Status Insursance Brokers is an Authorised Financial Services Provider. Licence no. 2278
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