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Personal Personal Insurance Home & Property Insurance Home Insurance Home Insurance Quote

Please note this an offline quote process, if you require an instant quote please call us on 01603 649650

Please answer all questions in as much detail as possible to enable us to provide a quotation.

Hidden
Email
- Your details
- Proposer name*
  First Last
- Contact telephone number (Mobile preferrable)*
- e-mail address*
- Date of Birth*
  DD slash MM slash YYYY
- Property details
- Postcode
- Address of property to be insured*
  
  Street Address Address Line 2 City Post Code
- Property type*
- Year of build*
- No, of Bedrooms*
- What are the walls constructed of (Bricks, Timber etc)*
- What is the roof constructed of (Tiles, Felt etc)*
- Cover
- When do you wish cover to start?*
  DD slash MM slash YYYY
- Do you require building insurance
  - Yes
  - No
- Buildings sum insured
  This is rebuild cost, not market value
- Do you require accidental damage cover
  - Yes
  - No
- Do you require contents insurance
  - Yes
  - No
- Contents sum insured
  What is the total contents value within the property
- Unspecified personal belongings cover Sum Insured (Cover away from home)
  General items away from home e.g. Mobile phone, spectacles etc
- Please specify any items over £1,500 from above categories (Jewellery/Pedal cycles etc)
  Describe item and state value e.g Rolex watch £7,000
- Claims
  If applicable, please provide details on any claims you or any insured has made in relation to this or other properties in the last five years (Date, Amount claimed, type of claim etc)
Declarations
By clicking submit you agree the following:
- Neither I or anyone living at the property have ever been convicted of or charged (but not yet tried) or been given an official police caution in connection with any other criminal offence other than parking or speeding offences or offences which are spent under the Rehabilitation of Offenders Act 1974.
- Neither I or anyone living at the property have ever had a proposal for or a renewal of insurance refused, had a policy cancelled or declined, or had special terms and conditions imposed by any Insurer.
- Neither I or anyone living at the property have ever been the subject of a County Court Judgement or Sheriff Court Decree
- Neither I or anyone living at the property have ever been declared bankrupt or insolvent or been disqualified from being a company director, or been involved as owner, director or partner with any company which went into receivership, administration or liquidation.

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