Insurance Desk Services

Building Insurance

Please answer the following questions

have you ever been refused home insurance by any insurer   yes no   have you ever had insurance cancelled or renewal refused by any insurer   yes no   have you ever had any special conditions or terms imposed by any insurer   yes no   have you ever been cautioned, convicted or have pending any prosecution for dishonesty   yes no have you ever been convicted or have pending any prosecution for arson   yes no has the property ever been affected by subsidence, heave, landslip or flood   yes no is there any history of subsidence, heave, landslip or flood in the area surrounding your property   yes no is the home in a good state of repair   yes no is the home to be maintained in a good state of repair   yes no

ownership of the property   Please select Mortgaged Owned outright Rented Unfurnished Rented Furnished   type of property   Please select Bungalow Detached house Flat/Maisonette Semi-Detached House Terraced House Farmhouse Other   how many people live in the property   Please select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20+   who lives in the property   Please select Proposers Family only Sole occupier-Household Sole occupier-Personal contents Shared-Contents for all residents Shared-Your own contents Shared-Contents(You+Partner) One Lodger Two Lodgers Three+ Lodgers Bed and Breakfast Other   type of tenant   Please select Professional Student Asylum Seekers DHSS tenant Other   number of bedrooms   Please select 0 1 2 3 4 5 6 7 8 9 10 11+ is the home occupied during the day   yes no   is the property used for business use   Please select No business use Business use without clients visiting Business use with clients visiting

date you wish your buildings cover to commence (dd/mm/yyyy)     property rebuilding cost £ is the value of property greater than £200,000   yes no   are you currently insured with your building society   yes no   how many years have you been with your current buildings insurer   Please select 0 1 2 3 4 5+

Details of property to insure house no/name     postcode   is this your main residence   yes no what are the walls made from   Please select Brick Stone Concrete Other   what is the roof made from   Please select Slate Thatch Tile Concrete Other   when was the property built   Please select 1980 on 1946 to 1979 1920 to 1945 1870 to 1919 1850 to 1869 Before 1849   Any flat roofs, if yes what percentage   % how long is the property ever left unoccupied for   Please select Up to 30 consecutive days 30-60 days More than 60 days   have you made any claims in the last five years   yes no   Your email address     Your contact number     Correspondance Address