MUTLI RENTAL PROPERTY INSURANCE QUOTATION

PROPOSER

Name
T/as
Trade
Trading Since Terrirtory

LOCATION

Address
Postcode

CONTACT DETAILS

Tel
Fax
Mob
Email
Web

MULTI PROPERTY DETAILS

(01) Property Address Buildings
Postcode Contents
Rent
Type
Age
Alarm
Tenants Tenants
Note: Sum insured is the full Reinstatement value

(02) Property Address Buildings
Postcode Contents
Rent
Type
Age
Alarm
Tenants Tenants
Note: Sum insured is the full Reinstatement value

(03) Property Address Buildings
Postcode Contents
Rent
Type
Age
Alarm
Tenants Tenants
Note: Sum insured is the full Reinstatement value

(04) Property Address Buildings
Postcode Contents
Rent
Type
Age
Alarm
Tenants Tenants
Note: Sum insured is the full Reinstatement value

(05) Property Address Buildings
Postcode Contents
Rent
Type
Age
Alarm
Tenants Tenants
Note: Sum insured is the full Reinstatement value

(06) Property Address Buildings
Postcode Contents
Rent
Type
Age
Alarm
Tenants Tenants
Note: Sum insured is the full Reinstatement value

(07) Property Address Buildings
Postcode Contents
Rent
Type
Age
Alarm
Tenants Tenants
Note: Sum insured is the full Reinstatement value

(08) Property Address Buildings
Postcode Contents
Rent
Type
Age
Alarm
Tenants Tenants
Note: Sum insured is the full Reinstatement value

(09) Property Address Buildings
Postcode Contents
Rent
Type
Age
Alarm
Tenants Tenants
Note: Sum insured is the full Reinstatement value


(10) Property Address Buildings
Postcode Contents
Rent
Type
Age
Alarm
Tenants Tenants
Note: Sum insured is the full Reinstatement value

PROPERTY SPECIFICS

Confirm By Ticking Each Box That The Property...
Is not under renovation :
Is not more than 4 storey's :
Is free of Asbestos products :
Is not a listed building :
Is in a good state of repair :
Is built of brick, stone, concrete :
Is built of brick, stone, concrete :
Is not subject to flooding :
Is not near cliffs, quarry or excavations :
Is free from defects :
No Sub-Letting is Allowed :
Minimum 5 Lever Mortice Locks On All Doors :
Windows Locks Installed :
Smoke/CO2 Alarms Installed :
Maintained Fire Protection Installed :
If NOT Ticked Give Details In "OTHER INFORMATION"

CURRENT INSURANCE

Required Date
Current Insurer
Policy Num
Premium
Current Broker

CLAIMS RECORD

Tick if any claim in last 5 years
Give claim details, types, dates :
Claims experience verification may be required from previous insurers

OTHER INFORMATION

Telephone 02870325999 for assistance