Blocks of Flats

Please complete the form below as accurately as possible and submit to us for a quote.

Required fields are in bold

     
1.

Name of insured

     
2.

Contact name/Intermediary

     
3.

Correspondence address

     
 

Postcode

     
4.

Telephone number

     
5.

Fax number

     
6.

Email

     
7.

Risk Address

     
 

Postcode

     
8.

Purpose built or converted

Purpose Built Converted
     
9.

Type of construction of building, roof, and floors?

     
10.

Age of property?

     
11.

Is the property listed?
(NB we are unable to quote for Grade 1 and 2* properties. Grade 2 or Scottish equivalent is accepted)

Yes No
     
12.

Number of floors?

     
13.

Number of flats

     
14.

Are there any lifts?

Yes No
     
15.

If there are lifts how many does the building have?

     
16.

Last 5 years' claims history (if none please state so)

     
17.

Has the property ever suffered from subsidence, heave, landslip or flood?

Yes No
     
18.

Rebuild cost of property (declared value)

     
19.

Existing Insurers

     
20.

Insurance Renewal Date

     
21.

Current Premium (leave blank if this is your first policy)


Other products available with this insurance: Quote Required ?
     
22.

Terrorism

Yes No
23.

Directors' and Officers' Liability

Yes No
24.

Engineering inspection and plant protection

Yes No
   


T: 01303-241170 | E:info@stephenlower.co.uk | F: 01303-850653