Business Insurance Quotations Let and Unoccupied Properties Form

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BusinessInsuranceQuotations.com

Let and Unoccupied Property Form

1. Your Name:

2. Correspondence address:

Postcode:

Telephone Number:

E-mail:

3. Address of property to be insured:

Postcode:

4. Buildings sum insured (rebuilding cost):

£

5. Type of property:

Number of bedrooms:

6. Construction:

Is property purpose built?:

Walls (eg: brick, stone etc.):

Roof (eg: titles, slate etc.):

Floors (eg: wooden, concrete ):

Is there a partial or full flat roof?

Yes No

If "Yes" describe in detail: (size, type, construction and age)

7. Year of build (approx.):

8. Is the property:

A listed building?

Yes No

If yes, what grade?

Near a riverbank?

Yes No

If yes, approx. distance from riverbank:

metres

9. Security

Locks fitted on Doors & Windows?:

Yes No

10. Is Property Currently occupied?:

Yes No

If so, type of tenants:

Who is your tenancy agreement with?

11. Type of lease:

Length of lease:

12. If unoccupied, please state reason:

13. Value of Landlords contents (if any):

£

14. Potential loss of rental income (if any, or cost of alternative accommodation. Note that this is normally 20% of building sum insured ):

£

15. Subsidence cover required?:

Yes No

16. How long have you owned property?

17. Any claims?

Yes No

If yes, please provide details

Date of claims

What happened (eg fire, theft, storm, flood)

Total Payment

1.

2.

3.

4.

18. Current insurers: (so we don't approach them)

19. Expiry date:

20. Target premium: (if known)

21. Is there a mortgage lender?

Yes No

If "Yes" please provide name and address (if known)

Please supply me with an estimate within working days.
(We will attempt to meet the target, but please be aware that
it does require our insurers to respond quickly as well!)

Done

Please check your details, and when you are happy that all is correct,
tick the 'Done' box and then click the Submit button above...