Your Name (required)

Your Email (required)

Your Telephone Number (required)

Best Time For us to Call You?
AMPMEITHER

Name of Management Company (if applicable)

Address of Property to be Insured? Please include the postcode

Current Insurer (if applicable)

Current Premium (if applicable)

Renewal Date of Current Policy (if applicable & known)

Have You Experienced Any Claims in The Last Three Years?
YesNo

If YES Please Provide Details

Occupancy Type
Owner occupied as main residentLet to a tenant who is currently working (assumed short term let 6+ months)Owner occupied as a holiday / second homeLet to studentsLet directly to persons on benefitsLet to housing association or similarHoliday LetsOther

Year Built/Converted (if known)

Is The Property Listed?
YesNo

If YES What is The Listed Status?

Type of Building?
Purpose BuiltConversionMix of Purpose Built & Converted

Number of Floors?
12345+10+20+

Number of Flats?
12345+10+20+

Are There Any Shops or Offices Included Within The Property?
YesNo

If YES Please Provide Details (such as number of shops & trades).

What Type of Construction are the Stairs? (if applicable)
TimberConcreteMix of Timber & Concrete

Floor Construction
TimberConcreteMix of Timber & Concrete

Buildings Declared Value? (the rebuild cost or buildings declared value can be found on your policy schedule)

Would You Like Quotes on Any of The Ancillary Products Below?
Directors & OfficersTerrorismLegalEngineering & Inspection