STUART & CO, STUART HOUSE, 15 RAMSAY COURT,HINCHINGBROOKE BUSINESS PARK, HUNTINGDON, CAMBS, PE29 6FY.

TEL +44 01480 433443 | FAX +44 01480 431060 | Email: sales@stuartandco.co.uk

House Insurance

Contact Details

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: *

First Name: *

Middle Name:

Surname: *

Sex: *

Birth Date: *

Contact Number: *

Additional Number:

Fax Number:

Email Address: *

Street Address: *

City:

County:

Postcode: *

Occupation: *

Sector: *

House Details:

We need some information about the property, please make sure you select the correct description below.

What are the walls made from? *

What is the roof made from? *

Type of Ownership: *

Type of Property: *

Household Insurance

(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: *


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?

YES NO



SunWorld LinkedIn