House Insurance

Your history

Construction of property: BrickStoneConcreteOther

If other please give details:

Type of property: Detached houseSemi-detached houseTerraced houseOtherBungalow detachedBungalow semi-detachedBungalow terracedOther

If other please give details:

Number of bedrooms:

Cover Required: BuildingsContentsBuildings & Contents

Buildings sum insured:

Contents sum insured:

If the property to be insured differs from your postal address above, please state the address and reason for the difference

Address of house to be insured:

Postcode:

Reason for difference:

Do you have a claims history (within 5 years)? YesNo

If you ticked yes, you must fill in the section below:

Date: D: M: Y:

Details of loss:

Amount:

By providing your email address, you are happy to allow contact from the advertiser about your query.