Step 1 of 3: Personal Details

Tell us about yourself...
 
Quote for


 
Title


 
Forename(s) *

 
Surname *

 
Date of birth

 
Preferred telephone number *

 
How would you prefer to be contacted?


 
What day and time is best to contact you?

 
Do you wish to add a joint policy holder?

     
 
Please give details of any joint policy holder you wish to add (please enter name, DOB, marital status & occupation)

 
Cover start date

 
What is your occupation?

 
Are you a first time buyer?

     
 
How many years no claims bonus do you have?


 
Have you made a claim or suffered any losses, whether insured or not, in the last 5 years?

     
 
Please enter details of the claim or loss.

 
Do you, anyone who lives with you, or anyone who has a financial interest in the property, have any unspent criminal convictions?

     
 
Please enter details of any criminal convictions.

 
Have you ever had a policy cancelled or voided by a previous insurer?

     
 
If you answered yes, please give details.

 
Has a previous insurer ever refused cover or imposed any special terms and conditions?

     
 
If you answered yes, please give details.

 
Have you, anyone who lives with you, or anyone who has a financial interest in the property, ever suffered any adverse financial history such as County Court Judgements, bankruptcy, IVA and/or previous company liquidations?

     
 
If you answered yes, please give details.

 
How did you find our website?

 
Step 2 of 3: House Details

Tell us about your house...
 
House number/name

 
Postcode

 
Number of bedrooms


 
Is your property a listed building?

     
 
Is your property


 
Year built


 
Property type


 
If you answered other, please give details.

 
Are the buildings built of


 
If you answered other, please give details.

 
Is the building in a good state of repair?

     
 
Are there any internal or external renovations being carried out on the property?

     
 
Please provide details of the renovations.

 
Are your home and neighbouring properties free from signs of damage and have no history of damage by subsidence, heave or landslip?

     
 
Has your home been subject to underpinning?

     
 
Has your home been subject to repairs or monitoring in connection with, or suffered damage by subsidence, heave or landslip?

     
 
Are the premises in an area free from flooding?


 
If you answered no or not sure, please provide details.

 
Are the premises within 400 metres of any rivers, streams or tidal waters?

     
 
Please provide details of any rivers, streams or tidal waters within 400 metres of the premises.

 
Are there any trees within 7 meters of the building?

     
 
Please provide details of tree type, distance from building and height.

 
Are all external doors fitted with five lever mortice deadlocks or multi-point locks?

     
 
Are all ground floor, basement and accessible windows fitted with key operated locks?

     
 
Buildings cover – sum insured:

It is important to ensure that the value of the property insured represents the total cost to rebuild your property (this is not the market value). This should represent the total cost to rebuild your property including architects, surveyors, consulting engineers, debris removals and legal fees you would be required to pay. For guidance please refer to BCIS (The Building Cost Information Service) of RICS (The Royal Institution of Chartered Surveyors). 3 yearly rebuild cost assessment recommended by professional builder.

 
If you answered other, please state the amount.

 
What is the roof type?


 
If you answered other, please give details.

 
Is the property constructed with a flat roof which covers more than 25% of the roof area?

     
 
Contents cover – sum insured:

It is important that you insure your contents for their value as new as under insurance may reduce the amount paid in the event of a claim. Depreciation will be taken into account for items of clothing.

 
If you answered other, please state the amount.

 
Valuable single items: Gold, silver, jewellery, paintings and furs – please list any single items that are in excess value of £1000.

 
Optional Extension – Do you wish to include Accidental Damage Cover?

This will cover you for accidents in the home.
     
 
Optional Extension – Do you wish to include All Risks/Personal Possessions Cover?

This covers your possessions outside the home in the event of damage, loss or theft, including 60-90 days worldwide.
     
 
Step 3 of 3: Additional Details

Discounts may apply...
 
Do you have a professionally installed and maintained alarm system?

     
 
Do you have an alarm system that will automatically alert the police?

     
 
Are you a member of a neighbourhood watch scheme?

     
Thank you for your enquiry.
Your details have been submitted.
We will contact you shortly with your quotation.
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