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Block of Flats / Property Owners Insurance Form

1. Your Name:

 Company Trading Title:

 Type of Company:

 Your Role

2. Correspondence Address :

 Post Code:

         

 Telephone Number:

 E-mail address:

 Website address:

3. Property address: (if different from above)

 Property postcode

4. Managing Agent Details: (if applicable)

 Name

 Address

 Postcode

 Phone

5. Property Details:

 Buildings Sum Insured

 Number of blocks

 Number of flats

 Number of storeys (incl ground)

 Is the property purpose built or converted?

 Approximate year built

 Approximate year of conversion

 Are the floors between properties timber?

 Yes No

 Are the stairs made of timber?

 Yes No

 Is the property listed?

 Yes No

 If yes, what grade?

 Is the property used for any business or commercial purposes?

 Yes No

 If yes, give details:

 Are all the flats owner occupied?

 Yes No

 If not, please specify how many are -

 Holiday homes

 Let to professionals/retirees under Assured Shorthold Tenancies

 Let to Local Authority

 Let to DSS referrals

 Let to students

 Non-AST lets/under 6 months

 Second non-letting holiday homes

 Are any of the flats unoccupied?

 Yes No

 If some flats are unoccupied, please give details:

 Are there any communal facilities such as a swimming pool or gym?

 Yes No

6. INSURANCE HISTORY

Please give details of any claims in the last five years:

Date of claims

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

Total Payment

1.

2.

3.

4.

 Name of current insurers (so that we don't approach them!)

 Expiry date of current insurance

 Current premium (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...