Personal Information
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| Proposer Name * |
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| Are you a Limited Company * |
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| Property Address * |
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| Postcode * |
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| Email * |
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| Telephone * |
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| How many years have you been trading? * |
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Date of Birth
Please Select the Day, Month & Year you were born |
| Day: * |
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| Month: * |
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| Year: * |
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| Additional Occupation |
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| How many years have you continuously held household/B&B insurance? |
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| Current Insurer |
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| Current Premium |
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| Renewal Date |
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| What directed you to our website? * |
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| Total Number of Bedrooms |
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| Number of Guest Bedrooms * |
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| Total Number of Guests * |
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| Any self catering accommodation? * |
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| Any leisure facilities? * |
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| Do you permanently reside at the premises? * |
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| Is the property occupied throughout the year? * |
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| Do you serve food to paying guests only? * |
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| Do you have an alcohol licence? * |
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| If so do you only serve alcohol to paying guests? |
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| Are your guests business and tourism only? |
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| Do you require terrorism cover? * |
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| Total wage bill & number of employees |
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| What is your annual turnover? |
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| Claims experience (over last five years) Please include date, details and amount of claim |
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| Criminal convictions, prosecuted for fraud, dishonesty, had an insurance cancelled, special terms imposed, been bankrupt or insolvent? * |
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Property Details If you answer yes to any of the following questions please give details under 'Further Information'
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| Age of property * |
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| Is the property listed? * |
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| Standard construction? (Built of brick or stone with tiled or slate roof) * |
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| Any renovation or construction work in progress or proposed? * |
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| Any trees on property or on neighbouring property? * |
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| History of, or area liable to, flooding or within ¼ mile of watercourse or sea? * |
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| The property is in a good state of repair and free from signs of damage by subsidence, heave or landslip and does not show any visible cracking internally or externally. Nor has the property been monitored for any past or previous subsidence, heave and landslip * |
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| Have you or any person living with you had any special terms imposed by an insurer or had insurance cancelled, declined or a renewal declined, been convicted of a criminal offence, received a Police caution or have any prosecutions pending? * |
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Locks |
| 5 lever mortice deadlocks on external doors * |
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| Top and bottom patio door locks |
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| Window locks on accessible windows * |
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Alarm |
| Central Station |
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| RedCare |
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| Dualcom |
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| Subject to a maintenance contract? |
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Safe |
| Make and model |
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| Wall, floor or free standing? |
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Buildings and Contents
Buildings sum insured (optional) |
| Anchored? |
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Other Security Details |
| Any other security information (e.g. Neighbourhood Watch) |
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Contents and personal effects |
| Main building |
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| Domestic outbuildings |
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| General contents |
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| Ride on mowers, or bikes |
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| Is cover required for your personal possessions away from the home, excluding jewellery? * |
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| Antiques |
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| Any valuables, works of art or collections valued over £1,000 * |
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Jewellery and watches |
| Normally worn |
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| Not normally worn and kept at home |
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| Kept in a safe at home |
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| Kept in a bank or safety deposit |
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Further Information
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| Please use this space to give any other information |
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Terms & Conditions
- I understand Ryan Insurance Group use a select panel of insurers for this type of business
- My quotation will be valid until the end of the current month
- I am obliged to provide all material facts that may affect the rating or acceptance of the policy, as failure to do so could invalidate my insurance cover
- Ryan Insurance Group is obliged by law to give me the opportunity to hear how they give advice, deal with compensation and handle complaints. This information is contained within their terms of business agreement (attached).
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Agreement |
| I have read and agree to the terms and conditions above: * |
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