Commercial Please complete the form below as accurately as possible and submit to us for a quote. Required fields are in bold
Name of insured
Contact name/Intermediary
Correspondence address
Postcode
Telephone number
Fax number
Email
Risk Address
Occupied as
Type of construction of building, roof, and floors?
Age of property?
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
Last 5 years' claims history (if none please state so)
Has the property ever suffered from subsidence, heave, landslip or flood?
Rebuild cost of property (declared value)
Annual rent figure
No. of months 12 24 36
Landlord's contents (residentialportions only) sum insured
Existing Insurers
Insurance Renewal Date
Current Premium (leave blank if this is your first policy)
Terrorism quote required ?
Submit
