Residential Lettings Please complete the form below as accurately as possible and submit to us for a quote. By submitting a Quotation Request, your data will be processed and stored as per our Privacy Notice and Data Retention and Record Keeping Policy. Required fields are in bold For clarity, properties insured on the Stephen Lower Residential Lettings policy MUST be let to tenants on minimum six months tenancy agreements, either directly with the property owners or via their letting agents.
Contact name
Correspondence address
Postcode
Telephone number
Email
Role
Full name of Insured Party/Parties
(If corporate/organisation policyholder) Company Number:
The Insured does not reside in the United Kingdom
Risk Address
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 lifts:
• The property has a basement:
• Date of construction:
• 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):
Type of Tenant
(If Other) Details:
(If HMO) Number of Rooms:
(If HMO) Licence Number:
Last 5 years' history of all Claims, Incidents, and Losses (If none, please state so)
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)
Existing Insurers
Insurance Renewal Date
Premium
This premium figure includes:
Terrorism Cover
Engineering Cover
Additional details
Engineering (Lift Insurance & Inspection) Cover
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