Insuforce landlords quotation form - Kounnis Insuforce Ltd

020 8523 0008

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Insuforce Landlords
Quotation Form

THE PROPOSER

Title

First Name

Surname

Date of Birth

Telephone Number

Marital Status

Employment Status

Occupation

Industry

Add proposer

If the property to be insured is in the name of Limited company, please complete

Name of Limited Company

Name of Director

Date of Birth

Add Director

COVER REQUIRED / DETAILS ABOUT THE PROPERTY TO BE INSURED

How much do you want to Insure your Buildings for? (This is the cost to rebuild your property)

Contents Sum Insured (£5,000 Landlord's contents cover is automatically included. Leave blank if this is adequate)

Loss of Rent (20% of your buildings sum insured figure is included for loss of rent cover, which is automatically provided over a 12 month indemnity period. For example, a buildings sum insured of £150,000 will provide you with £30,000 loss of rent cover. Leave blank if this is adequate)

Full Correspondence Address and Postcode

Full Risk Address and Postcode

What type of property is it?

Approximately, what year was the property built?

Is the property currently up for sale?

Yes No

What are the external walls built from?

What is your roof made of?

What type of tenants do you let the property to?

What percentage of the roof, if any, is flat?

Do you or your managing agent receive rent payments directly from your tenant(s)?

Yes No

Do you or your managing agent have a direct tenancy agreement in place with your tenant(s)?

Yes No

Will there be any portable heating in the property?

Yes No

Will there be any cooking in any of the bedrooms of the property?

Yes No

Have there been any losses or incidents in the past 5 years that have or could have given rise to a claim?

Yes No

Loss Date

Loss Description

Amount Claimed

Add another claim

Do you wish to provide us with any further information?

How do you wish to be contacted with your quotation?

Phone Email

It is important that what You have told Us is correct and that You have clearly disclosed all material facts which You, Your senior management and/or persons responsible for arranging the Policy knew or ought to have known.

Sterling House, Fulbourne Road, London, E17 4EE

Tel: 020 8523 0008

Email: info@insuforce.com

© Kounnis Insuforce Ltd. All Rights Reserved

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