Blocks of Flats

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

Required fields are in bold

     

About You
1.

Contact name

     
2.

Correspondence address

 

Postcode

     
3.

Telephone number

     
4.

Email

5.

Role

Policyholder
     
6.

Full name of Insured Party/Parties

     
 
  • (If personal policyholder) Permanent residential address for each insured party
  • (If corporate/organisation policyholder) Preferred correspondence address

 

(If corporate/organisation policyholder) Company Number:

 

The Insured is a Residents' Management Company

 

The Insured does not reside in the United Kingdom

Property Details
     
7.

Risk Address

 

Postcode

     
8.

Construction Details

  
 

• Property style:
 

• Wall construction:

 

• Roof construction:

 

◦ Approximate percentage of roof area that is flat (If no area of the roof is flat, please enter 0):

 

• Floor construction:

 

• Stairs construction:

 

• Cladding construction (if applicable):

 

• Number of storeys:

 

• Number of flats:

 

• Number of blocks:

 

• Number of lifts:

 

• The property has a basement:

 

• Date of construction:

 

• Purpose built or converted

Purpose Built Converted
 

• Date of conversion (if applicable):

 

• Grade listing (if applicable):
 

• The property has an oil tank:

 

• The property is in a good condition and will be maintained as such:

 

• All statutory and safety regulations are being complied with:

 

• Declared Value/Rebuild Cost of property

 

• Value of Landlords Contents (owned by policyholder and used by tenants):

 

• Value of Contents of Common Parts (£25,000 of cover is included free-of-charge. If you need additional cover, please specify here):

Occupancy Details
9.

Please confirm the number of flats in the property that fall into each of the occupation types listed below:

  
 

Leaseholder/Owner Occupied

 

Tenanted as a primary residence under an assured periodic tenancy (being the tenants main place of residence)

 

Students

 

AirBNB/Holiday Let

 

Second Home (Not let out)

 

HMO (House of Multiple Occupation)

 

(If HMO) Number of Rooms:

 

(If HMO) Licence Number:

 

Unoccupied

 

Other (please provide details)

 

(If Other) Details:

Claims & Incidents
10.

Last 5 years' history of all Claims, Incidents, and Losses
(If none, please state so)

     
11.

Has the property ever suffered from any of the following?

  
 

Subsidence/Heave/Landslip

 

Fire

 

Flood

 

Cracking

 

Details
(If you answered yes to any of the above)

Previous Insurance
12.

Existing Insurers

     
13.

Insurance Renewal Date

     
14.

Premium

 
  • Leave this field blank if this is your first policy.
  • Include all applicable taxes.
  • Use the combo box to the right to specify whether this is the Expiring premium or the Target premium.
 

This premium figure includes:

Terrorism Cover

Engineering Cover

Directors' & Officers' Cover
15.

Additional details


Please select any add-on covers you would like to be included in your quote:

Terrorism Cover

Engineering (Lift Insurance & Inspection) Cover

Directors' & Officers' Cover

You will have a chance to confirm which add-on covers to include if and when you take out your policy.