Landlord insurance quotation form

Landlord Insurance quotation form

Proposer details

Correspondence address

Personal History

Has the proposer or any director or partner: (in the business or any other name under which they have been trading)

Employers liability

Property, cover, occupancy details

Property details

Cover required

Occupancy Details

State maximum in any one unit/property
Please select ALL the types of tentant(s) occupying the property *

Property Construction

This means that is is secure, structurally sound, weatherproof, there is no evidence of dry rot, rising damp or infestation and there is no damage to the roof or chimney.

The Premises

This cover is optional and may be included or excluded at quotation stage.

Material Facts Declaration

Additional Proposers

Interested Parties



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