GET A HOME INSURANCE QUOTE
	Residential Property Buy to Let Commercial Other
Name
Date of Birth
Occupation
Buildings Section:
Correspondence Address with postcode
Property to be insured address with postcode
Ever had home insurance before.. yes/no. if yes how long for and any claims	Yes No
Type of property
Year built (approx)
Property constructed of (eg brick, stone etc)
Property roof constructed of (e.g slate, tiles, thatched etc)
Smoke alarm fitted:	Yes No
Number of bedrooms
Is the property regularaly occupied?	Yes No
Additional voluntary excess? How much? (usually in multiples of £50) e.g £100.
Contents Section (only complete if required
How much cover do you require?..(e.g minimum £25,000)
Window locks:	Yes No
Alarm fitted:	Yes No
If yes is it maintained by a recognised company:	Yes No
Extended accidental damage:	Yes No
Additional voluntary excess. (e.g £50 , £100 etc.)
N.B. If you enquiry is for a Buy to Let home insurance please fill out this form as requested and enter BUY TO LET in comments box.