Unoccupied Insurance

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Cover start date?*
Date Format: DD slash MM slash YYYY

Quotes valid for up to 30 days
Select an insurance period?*
Enter details of the insurance proposer
Name?*
Title First name Surname
Date of Birth?*
Occupation?*
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Email address?*
Enter Email Confirm Email
Telephone number?*
Joint proposer?
Name
Title First name Surname
Date of Birth?*
Occupation?*
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Enter details about the property to be insured
Insured address?*
- - Postcode
Reason for unoccupancy?*
Select from drop down list below
Any works, refurbishment or renovations planned during the policy period that exceed £50,000 when undertaken by an independent contractor or £10,000 when undertaken by anyone other than an independent contractor?*
Number of years unoccupied?*
Approximate year property built?*
Number of bedrooms?*
Type of property?*
Is the property in a condition in which it could be lived in as a home?*
Construction of the external walls?*
Main construction of the roof?*
Does the property has a flat roof, if so does it account for more than 40% of the total roof area?*
Is the property a listed building?*

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About proposer(s) and the property to be insured
Any unspent criminal conviction(s) or prosecution(s) pending?
Please give details*
Ever been declared bankrupt or the subject of bankruptcy proceedings?
Please give details*
Ever had a proposal declined, had a policy cancelled by an insurer, renewal refused or had any special terms imposed?
Please give details*
Has the property previously flooded or are you aware of a risk of flooding in the locality?
Please give details*
Has the property ever been damaged by subsidence, ground heave or landslip, monitored for subsidence, survey reported settlement or movement, showing visible signs of cracking or within an area subject to subsidence or mining (past or present)?
Please give details*
Any wells, sewers or other underground activity, such as salt extraction or mining nearby?
Please give details*
Made any claims under home insurance policy for this or any other property or any incidents of damage or loss not insured, in the last 5 years?
Please give details*
Month / Year Type of Claim / Brief Description Cost £

Ensure you have input details in each box, as missing information will mean we cannot quote

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Month / Year	Type of Claim / Brief Description	Cost £

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