Working From Home Insurance Quote Form

Please Read This Statement Before Completing The Form

The quotations we provide you will be based on the following:

The property is of standard construction. e. g, brick/ block/stone, slate or tiled roof.
The property & surrounding area is Free from storm/flood/subsidence/ground heave & landslip & has no history of such events in the area.
The property is in a good state of repair & will be so maintained.
The property is not situated near a river, watercourse, quarry or cliff.
The property is not a listed building.
The property has never been underpinned.
The property has never been repaired, monitored in connection with, or suffered damage by subsidence, landslip or ground heave.
You have not had any claims on previous policies.

N.B. If you cant agree with the above statement or are not sure about the statement then please ring us on 01288 353999 where we will be more than pleased to offer a quotation over the phone.

Proposer's Details

Proposer's name:

Date of birth:

Occupation:

Employers business:

Property Details

Postcode:

Property type:

Year property built:

Number of bedrooms:

Final exit doors fitted with approved locks (BS3621):

YesNo

Key operated window locks to all accessible windows:

YesNo

Are you a member of a neighbourhood watch scheme:

YesNo

Do you have smoke alarms fitted:

YesNo

Number of adults:

Number of children:

Does any member of the household smoke:

YesNo

Cover Details

Buildings: This is the rebuilding cost of your property.

Contents: This covers all personal contents (i.e. furniture, carpets, TV's etc).

Loss Of Rent: This covers personal effects away from the property.

Do you require Buildings Cover? :

YesNo

If yes: Buildings Sum Insured : £

Do you require Contents Cover ? :

YesNo

If yes: Contents Sum Insured : £

Do you require Personal Possessions Cover? :

YesNo

If yes: Personal Possessions Sum Insured : £

How many years have you been claim free:

Full details of work undertaken at your home address:

Value of business/office equipment in the main property: £

Value of stock in the main property: £

Value of business/office equipment in garage or outbuildings: £

Value of stock in garage or outbuildings: £

Public liability home address only required?:

YesNo

Public liability home address and work away required?:

YesNo

Employers liability cover:

YesNo

If Yes: (Number Of Clerical Employees)

If Yes: (Number Of Manual Employees)

If hairdresser/beautician, do you require treatment cover:

YesNo

Current Insurance and Contact Information

Current insurers:

Renewal/Start date:

Renewal/Target premium: £

Any further information you feel may affect the quotation:

Contact Name:

Address:

Email address:

Phone number:

How to contact you:

Working From Home Insurance Quote Form

Please Read This Statement Before Completing The Form

Proposer's Details

Property Details

Cover Details

Current Insurance and Contact Information

Latest News