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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
Please state the address of property to be insured.
Property Details
Property Details
The Reinstatement Value may also be called the Declared Value on your documentation.
Construction details
Please tell us what percentage of the roof is flat.
Property Risks
Please tell us if the property has ever suffered from flooding or if there is any history of flooding in the area.
Please tell us about any evidence or history of subsidence, heave or landslip.
Please detail your claims history for the last five years. Please include date, circumstances and amounts claimed.
Current Insurance Arrangements