LET PROPERTY INSURANCE QUOTE FORM

Your Name (required)

Date Of Birth: DD/MM/YYYY

Correspondence Address & Postcode (required)

Let Property Address & Postcode (required)

Type Of Property
DetachedSemi-DetachedBungalowFlatOther

Construction Of Walls
BrickStoneTimberConcreteOther

Construction Of Roof
SlateTileFelt On TimberConcreteOther

Any Flat Roof? If Yes Please Give Percentage

What Is The Cost Of Rebuilding Your Property

Do You Require Landlord Contents Cover? If Yes How Much.

Type Of Tennant
Private RentalRetiredCouncil SupportLocal AuthorityStudentUnoccupiedOther

Is Cover Required For Loss Of Rent? If Yes please Enter Amount £, Of Annual Rent Required.

Approximate Year Of Build

Date Of Purchase, How Long Owned

Door Locks - 5 Lever Mortise Lock or 3 Bolt Multi Lock as in PVC Doors.
YesNoNot Sure

Key Operated Window Locks?
YesNoNot Sure

Any Claims In Last 5 Years
YesNo

Details Of Claims Where Applicable Including Dates,Type Of Claim, ie Theft, & Amount Claimed

Your Email (required)

What Date Would You Like To Go On Cover?

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