Home Insurance

Step 1 of 9 - Lets Get Started

Let's get started

Is the property to be insured your main place of residence and will it be occupied solely by you, your partner and family members?*

Yes

When would you like Cover to start?*

Is this Insurance for:*

What cover do you require?*

Start typing the risk address*

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

About you

Proposers Name*

Prefix First Last

Date of Birth*

Marital Status*

Gender

What's your address?*

Check box if address is the same as the insured property

Street Address Address Line 2 Town / City County Postcode

Email*

Mobile Phone*

Landline Tel

Occupation Status*

Occupation*

Is this application in joint names?*

Yes

Please add the details for the additional applicant.

Second Proposer's Name*

Date of Birth*

Gender

Relationship to main proposer*

Occupation Status*

Occupation*

Full Time Occupation*

Yes

Hidden

Untitled

Property Construction

In what year were the premises built?*

Wall Construction Type*

Roof Type Construction

Heating Type?*

Does any part of the property have a flat and / felt roof?*

Yes

Percentage of flat roof?*

Please enter a number from 0 to 100.

Is the property in a good state of repair?*

Yes

Do you undertake to maintain the property in a good state of repair?*

Yes

Has the property been extended by more than 10%?*

Yes

Declarations

Criminal Convictions*

Yes

Ever been charged with (but not yet tried) or convicted of any criminal offences excluding motoring offences and offences that are spent under the Rehabilitation of Offenders Act 1974 and subsequent amendments to that Act?

Bankruptcy*

Yes

In the last 5 years been declared bankrupt or been the subject of bankruptcy proceedings, an Administrative Receivership, a Company or Partnership or Individual Voluntary Arrangement, a Debt Relief Order, an Administration Order, a Compulsory Liquidation, a Creditors' Voluntary Liquidation, a Winding Up Order or any equivalents in Scotland or Northern Ireland?

Adverse insurance history*

Yes

In the last 5 years had a policy voided, renewal declined, cancelled where a cancellation clause has been invoked or had special terms imposed by an insurer?

Have you had any insurance claims in the last 5 years?*

Yes

Have you made any insurance claims within the last 5 years whether the claims was paid or declined.

Please list the claims in the last 5 years.

Date

Claimed Amount

What was the claim for?

Additional Information

This field is for validation purposes and should be left unchanged.

Home Buildings & Contents

Let's get started

About you

The Property

Property Construction

Property History and Location

Doors and Lock Security

Safety Security

Buildings Cover Section

Contents Cover Section

Optional Cover

Declarations

Want us to call you?

Home Buildings & Contents

Let's get started

About youPlease expand and complete each section.

The Property

Property Construction

Property History and Location

Doors and Lock Security

Safety Security

Buildings Cover Section

Contents Cover Section

Optional Cover

Declarations

Want us to call you?

Call: 0203 488 4224

About you