Downloads

Please print out the forms and fax back to Roughton Nelson on 07 839 0401 or post to PO Box 457, Hamilton.

New customers

• Quote request: owner-occupier house and contents insurance
• Quote request: landlord house and contents insurance
• Quote request: private vehicle
• Roughton Nelson Client Declaration
• Broker Appointment Form
• Direct Debit Form
• Payment Advice Form
• Classic Cars - Policy Application

Existing customers

• General Claim Advice
• Motor Vehicle Claim Advice
• Roughton Nelson Client Declaration
• Direct Debit Form
• Payment Advice Form

Agents

• Agent Details Form
• Broker Appointment Form
• Agents quote request

Get a quote
Report a claim
FAQs
Contents valuation guide
Learn insurance jargon