www.tenancy.govt.nz ATTACH THIS STATEMENT TO THE TENANCY AGREEMENT
This insurance statement is for landlords, property managers and boarding house managers who can attach it to their
own tenancy agreement.
Law changes relating to insurance and damage
› From 27 August 2019, the law requires landlords to disclose whether or not the property is insured in a statement as part
ofany new tenancy agreement, and if so, the excess amount of any relevant policies. Landlords need to include information
about insurance that is relevant to the tenant’s liability for damage to premises.
› If the rental property is part of a body corporate, landlords will need to include relevant insurance information for both
damage to the rental property itself, and the shared facilities.
› They must also include a statement informing the tenant that acopy of their insurance policy is available on request.
Thisensures that the tenant knows what actions or omissions could invalidate the insurance policy and also helps the
tenantto know what is covered by insurance and the excess payable on the insurance policy.
› Landlords must provide tenants with this insurance information (if requested within a reasonable timeframe) and provide
updated information within a reasonable timeframe if insurance information changes, or (where they are not the insurance
holder) within a reasonable timeframe of becoming aware of the changes.
› If tenants or their guests damage a rental property as a result of careless behaviour, the tenant is liable for the cost of the
damage up to four weeks’ rent or the insurance excess (if applicable), whichever is lower. Tenants on income-related rents are
liable for the cost of the damage up to four weeks’ market rent or the insurance excess (if applicable), whichever is lower.
› Tenants will be liable for the full cost of damage that they or their guests cause intentionally or that results from an act or
omission that constitutes an imprisonable oﬀence.
Landlords must either complete this form or attach a statement containing the same information.
Address of tenancy
There is insurance covering this rental property that is relevant to tenant’s liability for damage
to premises, including damage to body corporate facilities. Yes No
The table below speciﬁes the excess amounts of all relevant insurance policies for this property.
Name/type of policy Insurer Excess amount
The insurance policy for this property is available for the tenant if they request it. This ensures that the tenant knows what
actions or omissions could invalidate the insurance policy and also helps the tenant to know what is covered by insurance and
theexcess payable on the insurance policy.
If these insurance details change and theinformation above or the policy documents are no longer correct, you must provide the
correct information to your tenant within a reasonable time.
TEN 4700 DEC19