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Please complete and submit this form and our team will be in touch with your quote. If you have had any insurance proposals or renewals refused, cover cancelled or special terms imposed, convictions, CCJs or bankruptcies, then we will need to discuss your needs. Please call us on 0808 256 6521.
Contact Details
Policyholder
Contact name
Telephone
Email address
Address
Please state the address of property to be insured.
Post code
Property Details
Number of flats
Number of storeys
Number of flats owner occupied
Number of flats let
Number of flats let to Students/DSS/Asylum Seekers
Number of flats used for holiday letting
Number of flats used as second homes
Property Details
Age of building
Is your building listed?
No
Grade 1
Grade 2
Grade 2*
Purpose built or converted?
Purpose built
Converted
If converted, what year?
Reinstatement value
The Reinstatement Value may also be called the Declared Value on your documentation.
Construction details
Wall material
Brick
Stone
Concrete
Other
Number of timber floors
Number of concrete floors
Roof material
Slate
Tile
Felt on timber
Asphalt / Concrete
Other
Flat roof
Please tell us what percentage of the roof is flat.
Property Risks
Flooding history
Please tell us if the property has ever suffered from flooding or if there is any history of flooding in the area.
Subsidence history
Please tell us about any evidence or history of subsidence, heave or landslip.
Claims history
Please detail your claims history for the last five years. Please include date, circumstances and amounts claimed.
Current Insurance Arrangements
Current insurer
Renewal date
Present premium
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Articles & events
Commercial Clients
Sector expertise
Associations and schemes
Charities
Construction projects
Education
Electrical, fire and security
Farming and Agriculture
Haulage and logistics
Health and Care
Professions
Recruitment
Renewable energy
Technology
Types of cover
Business accident and travel insurance
Business interruption insurance
Cyber insurance
Directors and officers insurance
Employers' liability insurance
Kidnap and ransom insurance
Medical indemnity insurance
Professional indemnity insurance
Trade credit
Protect your properties
Blocks of flats insurance
Commercial property owners
Landlord insurance
Office insurance
Property management insurance
Property owners insurance
Surgery insurance
Manage vehicle risks
Fleet and commercial vehicle
Fleet risk management
Motor trade
Motorsports
Professional services
Accountants
Actuaries and pension consultants
Architects
Brokers and intermediaries
Business Consultants
Designers
Solicitors
Talking therapies
Training Professionals
Trade expertise
General contractors and trades
Hotels and pubs
Restaurants and fine dining
Shops and convenience stores
Private Clients
Lifestyle
Critical illness cover
Jewellery and watch insurance
Life assurance
Private medical insurance
Travel insurance
Yacht insurance
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Buildings and contents
Prestige home insurance
Renovation insurance
Second home insurance
Tenants contents
Motor
Car insurance
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Client feedback
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