STUART & CO, STUART HOUSE, 15 RAMSAY COURT,HINCHINGBROOKE BUSINESS PARK, HUNTINGDON, CAMBS, PE29 6FY.
Complete your details in the form below and press submit. We will provide a response within one working day. Please fill in all * marked fields these are required to correctly process your quote. Failure to include accurate information could cause loss of a claim.
We need some information about you, please make sure you fill this section in carefully.
Title: *
Mr Mrs Miss Ms
First Name: *
Middle Name:
Surname: *
Sex: *
Birth Date: *
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Contact Number: *
Additional Number:
Fax Number:
Email Address: *
Street Address: *
City:
County:
Postcode: *
Occupation: *
Sector: *
None Accountancy Admin, Secretarial & PA Apprenticeships Banking Charity & Voluntary Construction & Property Customer Service Education Energy Engineering Estate Agency Financial Services FMCG General Insurance Graduate Health Hospitality Catering Human Resources IT & Telecoms Legal Leisure Tourism Executive Manufacturing Marketing Media, Digital & Creative Medicine Motoring & Automotive Public Sector Purchasing Recruitment Consultancy Retail Sales Scientific Security & Safety Social Care Strategy & Consultancy Training Transport & Logistics Other
We need some information about the property, please make sure you select the correct description below.
What are the walls made from? *
Brick Stone Concrete Brick on timber frame Stone on timber frame Timber or other
What is the roof made from? *
Tile Slate Concrete Thatch Other
Type of Ownership: *
Mortgaged Owned Outright Rented Furnished Rented Un-Furnished
Type of Property: *
Bungalow Detached House Bungalow Flat/Maisonette Semi-Detached House Terraced House Farm House Other
(If high risk items exceed one third, please advise)
Buildings Sum Insured: *
Contents Sum Insured: *
Please tick if accidental damage cover is required:
Please tick if personal possessions away from home is required:
If ticked, please indicate maximum value:
£
Year Built: *
Number of Bedrooms: *
1 2 3 4 5 6 7 8 9 10 11+
YES
NO
Is the home unoccupied for more than 30 days at a time?
Is the home unoccupied during normal working hours?
Is the house used for any business or professional purposes?
Is the house fitted with 5 lever mortise deadlocks on all final exit doors?
Is the house fitted with key operated window locks on all accessible windows?
Is the house fitted with an intruder system?
Is there any history of subsidence or flood damage to your home or in the area?
Have you suffered any loss or damage or made any claims in the last 5 years?
If yes, please supply details:
Current Insurer:
Your house insurance renewal date:
Are there any other material facts which may affect this quotation?
If yes, please supply details: *
Additional Comments:
Do you agree that the infomation you have entered is accurate and factual?