Written on 11 Nov 2009 by admin

Flats Insurance

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General
Proposer
Contact
The Property
Cover
Final Details
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General details

Renewal date / Cover date?	* A value is required.Looks too short for a date – e.g. 30/01/2009Looks too long for a date e.g. 30/01/2009
Renewal premium?
Where did you hear about us?	* We need to know this.We need a little bit more than that”That’s slightly too much text

Questions marked with a * are mandatory

Please enter details about the main insurance proposer

Title?
First name?	* We need to know this detail.Your name is longer than this!That’s too long for a name!
Surname?	* We need to know this detail.Your name is longer than this!That’s too long for a name!
Date of Birth?
Occupation?	* A value is required.Minimum number of characters not met.*Exceeded maximum number of characters.
Is the proposer?	Please select a valid item.		*
If the policy is to be in the name of a company or residents association, please state the name:

Questions marked with a * are mandatory

Please indicate how we may contact you

Preferred method of contact?
Contact telephone number?	A value is required.Minimum number of characters not met.Exceeded maximum number of characters.*
Email address?	A value is required.Invalid format.*

Questions marked with a * are mandatory

Please enter details all about the property to be insured

Are the flats or maisonettes?
Property name / number?	* A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
Postcode?	* A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
Approximate year of conversion (if applicable)?
Approximate year property built?	* A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.
Approximate year property purchased?	* A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.
Construction of the property?
Construction of the roof?
Approximate percentage of any flat roof?
Number of flats or maisonettes?	* A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
Number of storeys?	* A value is required.
Is the floor?
Are the stairs?
Is the property?
If any of the flats or maisonettes are unoccupied, please state how many?
Are the flats or maisonettes?
If any of the flats or maisonettes are let, how many are currently let out:
If any of the flats or maisonettes are let, please state the type of tenants occupying the flat(s), ie working professionals/retired, DSS claimants, students or asylum seekers:

Questions marked with a * are mandatory

Please enter details about buildings cover

Rebuild value of the property?	A value is required.* Minimum number of characters not met.Exceeded maximum number of characters.
Do you require accidental damage cover for the buildings?	Please select a valid item.	*

Questions marked with a * are mandatory

Has the proposer or anybody living at the insured address

Any convictions or criminal offences or pending prosecutions?		*
Ever been declared bankrupt/insolvent or the subject of bankruptcy proceedings?		*
Ever had a proposal declined, had a policy cancelled by an insurer, renewal refused or had special terms imposed?		*
Is the property located within 400 metres of any watercourse or previously been flooded?		*
Is the property currently undergoing structural renovation or is any structural work (excluding interior decorating) planned during the policy term?		*
Has the property ever been damaged by subsidence or ground heave, monitored for subsidence, showing any visible signs of cracking or been underpinned?		*
Have you made any claims against the buildings or contents insurance for this or any other property or has there been any incidents of damage or loss, within the past five years?		*
If you have answered ‘Yes’ to any of these questions, please give details, including dates, circumstances and if a claim(s), the settlement amount(s).

Questions marked with a * are mandatory

Please check your form over and submit it to us

Please check all of the details. Once you are happy with the information provided, please click the submit button.

We will be in contact as soon as we have obtained a quotation. Thank you.

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