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CONTENTS

Approximately how long have you been claims free?                         



Buildings                         



Contents                         



Is there any  other information you would like to give us?                         



PREFERRED QUOTATION DATE *


* To give you plenty of time we will contact you 3 - 4 weeks before this date.


Renewal date


Risk Address


PROPERTY DETAILS

Type of Property


Cost to rebuild               £


(If in doubt the market value may give an approximate idea. Although this is often higher than needed as it includes the value of the land)


Construction


Walls


Roof


Does the property have any area of flat roof?


If YES, what percentage of the total roof?


%

Year  Built


Is the property a listed building


Number of bedrooms


Number of bathrooms/en suites?


Has there been a history of, or are there any signs of subsidence/landslip/heave?


Is the property in an area which has suffered flooding (within 400m)?


What is the total replacement value of your contents as new?                          



£


If you require cover for personal belongings taken away from home, what is the maximum amount taken out by you and your household at any one time?



£


CLAIMS

Please enter the text you see in the box below, then hit the submit button.


Thank you for requesting a quotation, we will be back to you in the next two working days

Date(s) of birth


Contact telephone number(s)


Email address


Name of Policyholders(s)


Date

Type


Detached, semi etc.


Home Insurance Quote Form