commercial proposal form

Step 1 of 9 - Contact

When would you like your Cover to Start?*

Proposers Name*

Mobile Number*

Landline Number

Email*

Main Business Address?*

Start typing your address on the "Street Address line".

Property to be insured

Please Note: Some fields have been populated to make the form quicker to complete. Please amend the pre-selected answer if applicable. Please check your answers to ensure they are accurate.

Has the property previously been or is it currently insured?*

Yes

Previous / Current Insurer?*

Type of Occupants for the property?

Residential

Commercial

Commercial and Residential (mixed)

Property Risk Address*

The address of the property to be insured.

Select type of residential premises?*

Select the mixed property use?*

Select the type of commercial premises?*

In what year were the premises built?*

Listed Building Status?*

Date Property Purchased?*

DD/MM/YYYY

Are there any flats? If so how many flats are in the property?

What Percentage of the Property is unused or unoccupied?*

Is the property used as a House in Multiple Occupation (HMO)?

Yes

Number of floors made of wooden construction?*

Number of floors made of concrete construction?*

Property Occupants / Tenants

Residential Occupant*

Premises Use?*

Rent funded by?*

Commercial Occupant

How many different trades occupy your premises?*

What is the trade of the Commercial Occupants?

2. Additional Trades?

3. Additional Trades?

4. Additional Trades?

5. Additional Trades?

6. Additional Trades?

7. Additional Trades?

8. Additional Trades?

9. Additional Trades?

Commercial Property Proposal Form

Your Business

Subsidiary Company

Partnership Companies

Please enter the names of the trustees

Property to be insured

Additional Premises Details

Property Occupants / Tenants

Commercial Occupant