Please fill in the form below as accurately as possible to get an online quote:-
  *mandatory field  
Start date for policy *:
Gender*:
Date of birth*:  
First Name*:
Surname*:
House Number/Name*:
Address*:
City/Town*:
Postcode*:
Phone number (day)*:
Phone number (evening):
Best time to contact you:
Email*:
Occupation:
Employer's Business
Marital Status:
Property Type:
Number of bedrooms:
Approximate year built:
Ownership:
Is the property a holiday home or let:
Is the property used for business:
Type of insurance required:
Building sum insured:

Rebuild Cost

This is the cost to rebuild the property not the named value.

 Extra Accidental damage  
Contents sum insured:
       Extra Accidental damage  
How much cover do you require away from home:
Have you suffered any claims in the last 5 years:
Number of claim free years:
Is your home fitted with approved locks:

APPROVED LOCKS

Are all external doors fitted with 5 lever mortice locks? Do all accessible windows have key operated locks?

  
Is your home fitted with an approved alarm:

ALARM

Alarm fitted and maintained by installer, approved by The National Advisory Council of Security (NACOSS)

  
Is your property in a good state of repair, free from flood, subsidence, landslip, tall trees, neighbouring subsidence, and free from past or present
 If no please state below:
Do you have any valuables within the home which exceed £5,000 in total or have a single article value more than £1,500:

Valuables

example of valuables within the home: stamp, coin or medal collections, art work, gold, silver or other precious metal jewellery, furs or watches
 
Please enter the number displayed above*: