Your property

Name of insured
Correspondence address
Postcode
Email
Phone
Risk address
Postcode
Purpose built? (Yes or No)
Type of construction of building and roof?
Age of property?
Is the property listed? (Yes or No)

 
Number of floors?
Number of flats?
Are there any lifts?
If there are lifts how many does the building have?
Last 3 years' claims history (if none please state so)
Has the property ever suffered from subsidence, heave, landslip or flood?
Rebuild cost of property (declared value)
Insurance Renewal Date
Enter what date cover is required from.
Current Premium (leave blank if this is your first policy)