Residential Building Insurance Form

By filling in the form you are accepting the terms and conditions stipulated on this site.

Applying from Zimbabwe

If you are in Zimbabwe, fill in the form, submit online, and approach any CBZ branch of your choice or CBZ Insurance Head Office with your property documents and National ID.

Applying from outside Zimbabwe

If you are outside Zimbabwe, fill in the form, download the completed form, sign, scan and email to [email protected]

(Please note that cover applies to properties registered in Zimbabwe only)

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section 5

Details of the Applicant

Title

Mrs

Miss

First Name

Middle Name

Surname

Postal Address

Name of Insured / Owner

ID Number

Email Address

Employer

Employer's Tel No.

Telephone Numbers

Home: Area Code

Number

Business: Area Code

Number

Mobile

Annual Income Range

up to $10,000

$10,000 to $20,000

$20,000 to $50,000

Above $50,000

Bank

Account Number

Residential Building Insurance Application Form