Your name/ signed
Approximately how long have you been claims free?
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.
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)
Does the property have any area of flat roof?
If YES, what percentage of the total roof?
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?
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)
Name of Policyholders(s)
Detached, semi etc.
Home Insurance Quote Form