UK Holiday Home Insurance Online Quotation Form
Personal
Title:
Mr
Mrs
Ms
Miss
Name:
Date of Birth:
Address:
Postcode:
Tel Daytime:
Tel Home:
E-mail Address:
Occupation:
Property to be Insured
Address:
Property Postcode:
Renewal Date/Date Cover Required:
Type of Property:
House
Apartment
Flat
Bungalow
Other
Please provide details...
What floor is the Apartment/Flat situated on?
Property Use:
Holiday Home (own use and lent to friends and family)
Holiday Let (own use and let commercially for holiday lets,
no single let to exceed 6 weeks)
Is the Property Self Contained?
Yes
No
Please provide details...
Year Property was built:
Value of Buildings to be Insured (Rebuild Value):
Value of Contents to be Insured:
How is the Property Owned?
Owned Outright
Owned on a Mortgage
Please provide name of mortgage lender if you wish their interest
to be noted on the policy...
Is the Property built of Brick, Stone and/or Concrete and Roofed with Slate, Tiles and/or Concrete?
Yes
No
Please provide details...
Is the Property in a Good State of Repair?
Yes
No
Please provide details...
Is the Holiday Home checked internally at least once a month when unoccupied?
Yes
No
We will be unable to offer a quotation if the property is not checked
internally at least once a month when unoccupied...
Are all External Doors fitted with Five Lever Mortice Deadlocks or European equivalent?
Yes
No
Will be need to be fitted within 4 weeks from inception of any
policy...
Are all Ground Floor, Basement and Accessible Windows fitted with Key Operated Locks or Shutters with Internal Catches?
Yes
No
If the contents is £30,000 or greater this would need to be carried
out within 4 weeks from inception of any policy...
Is a Burglar Alarm fitted to the Holiday Home?
(Monitored alarm required if contents sum insured is £75,000 or greater)
Yes
No
Is the Holiday Home protected in any other way?
Yes
No
Please provide details...
Number of Years Claim-Free on any Properties:
6 Years+
5 Years
4 Years
3 Years
2 Years
1 Year
0 Years
