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Dbi. vmia.vic.gov.au VMIA PO Box 18409 Collins St East Victoria 8003 Phone 1300 363 424 DOMESTIC BUILDING INSURANCE QM3167-06-15 Page 1 of 14 SECTION 1. Who should complete this form This form should be completed by businesses sole traders/partnerships/companies hereafter referred to as the Applicant seeking domestic building insurance cover for a single dwelling contract or up to a maximum of two dwellings on the one site in Victoria. ELIGIBILITY WITH QBE/VMIA WITH ADDITIONAL COVER FROM 1...
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