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Your Contact Details

*Title

 
*Surname
 
*First name
 
Marital status
 
*House no. or name
 
*Postcode
 
*Date of birth
 
*Residency
 
*Telephone no
 
*Occupation
 
Employers business
 
     
About the building
*Type of building
 
*Date built
 
*Type of construction
 
*Any building work in progress
 
Yes No
*Listed property
 
Yes No
*No. of rooms
 
*No. of bedrooms
 
Is the property let/sublet
 
Yes No
Is the property owned / let / leased
 
Owned Let Leased
Is it used for business
 
Yes No
*Bank or Building society interest
 
Is the property shared by non family members
 
Yes No
On what basis is it left unoccupied
 
Neighbourhood watch
 
Yes No
Burglar alarm
 
Yes No
Smoke alarm
 
Yes No
Is there a safe installed
 
Yes No
Is the property in a good state of repair
 
Yes No
 
Any history of
*Subsidence
 
Yes No
*Landslip
 
Yes No
*Ground heave
 
Yes No
*Flooding
 
Yes No
     
Joint insured details
Surname
 
First name
 
Date of birth
 
Employment
 
Employers Business
 
Buildings sum insured
 
Accidental damage
 
Contents Sum insured
 
Personal effects
 
Unspecified all risks
 
Previous insurance
 

At the time of providing a quote we will need to ask some sensitive information on behalf of our insurers. Insurers take criminal convictions and Bankruptcy into account when assessing risks.