Home insurance for ex-offenders

Fill in the form below for a quotation

Please click on each tab below and carefully answer all the questions in each section before submitting.

  • General
  • Proposer
  • Joint Proposer
  • Contact
  • The Property
  • Buildings
  • Contents
  • Security
  • Final Details
  • Submit for quote

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 proposer

Title:

‘Other’ my title is:

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.

Questions marked with a * are mandatory.

Please enter details about the joint proposer (if applicable)

Title:

‘Other’ my title is:

First name:

Surname:

Date of Birth:

Occupation:

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

House 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.

Year property built (approximately)
* A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.

Year property was purchased:
* A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.

Construction of the property:

 *

Is the roof tiled or flat
(the roof can be a mixture tiled and flat)

What percentage of the roof is flat:

What type of property:

If the property is a flat or maisonette,
what floor is it on?:

If property is let, please state the type of tenants occupying the property, ie working professionals/retired, DSS claimants, students or asylum seekers

How many bedrooms:
*
A value is required.

Is the property

 *

Questions marked with a * are mandatory.

Only answer the following questions if buildings cover is required

Rebuild value of the property:

Questions marked with a * are mandatory.

(Only answer the following questions if contents cover is required)

Contents sum insured:

If you have any valuables or single items worth over £500,
please list with sums insure here:

Do you require ‘Personal Possessions’ cover for items taken away from the home:

If yes, please specify the amount of unspecified personal possessions taken away from the home:

If you have any specified items taken away from the home valued over £500, or require cover for any pedal cycles, money or mobile phones, please list with sums insured here:

Questions marked with a * are mandatory.

Please answer the questions regarding security at the property

Are all external doors fitted with five lever mortice deadlocks:

 *

Are all accessible windows fitted with key locks:

 *

Is there an alarm fitted to the property:

If yes, please state what type, eg bells only, Redcare

Questions marked with a * are mandatory.

Has the proposer(s), or anyone living at the insured address:

Please give details of any unspent or pending criminal conviction(s) relating to anyone living in the property. Please give the date of the conviction(s), nature of offence(s) and the penalty/sentence imposed

A value is required.Minimum number of characters not met.Exceeded maximum number of characters.		 *

Ever been declared bankrupt/insolvent or the subject of bankruptcy proceedings:

 *

Ever had a proposal refused or declined or had an insurance cancelled, renewal refused or had special terms imposed:

 *

Is the property located within 400 metres of a watercourse or has the property ever 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 suffered any obvious damage from subsidence or show any visible signs of cracking, or has the property ever been underpinned:

 *

Have you made any claims against the buildings or contents insurance for this, or any other property, within the past five years:

 *

If you have answered yes to any of these questions, please give details below, detailing dates, circumstances and if a claim, the settlement amount.

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.

If you remain on this page, after pressing submit, please re-check the form for missing details
(it will be highlighted)