Request a Quotation


Landlord Quotation form
	Personal Details
	Proposers Title
	Proposers Forename
	Proposers Surname
	Proposers Date of Birth
	Proposers Occupation
	Proposers Business Type
	Marital Status
	Proposers Address

	Joint Applicant Details
	Title
	Forename
	Surname
	Date Of Birth
	Occupation
	Business Type
	Maritial Status
	Relationship to Proposer

	Property Details
	Post Code	*(Please provide correct Northern Ireland Post Code)
	Risk Address
	House Type	(Please provide correct house type... Semi detached etc...*)
	Roof Type	Roof Flat
	Build Type
	Bedroom Amount
	Rooms/Floors
	Year Built
	Windows Locks Fitted	*(Key operated?)*

	Is the property to be insured:

	Let as Holiday Home?
	Standard Let Property	Non Dss/ non Student
	Dss Let
	Student Let
	Unoccupied?	Please confirm if unoccupied due to
	Let under a single Tenancy agreement between you and the individual tenant



	Policy Details
	Buildings Cover Type
	Sum Insured
	Previous Insurance Held	If Yes, Previous Insurance Details including years insured etc.
	Contents Cover Type
	Sum Insured
	Previous Insurance Held	If Yes, Previous Insurance Details including years insured etc.
	Cover Start Date

	Claims History
	Any Claims History within the last five years?	If Yes, Please provide details of claim dates and detail what claims were for.


	Contact Details
	Telephone Number	*
	Email Address	*
		* Details required for quotation request to be completed.