Home Insurance Quote

Please note that all material facts must be disclosed as failure to do so could invalidate your insurance cover. If you are in any doubt about any facts which might be material you should disclose them.

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* Required Information.

Proposer Information

Proposer Name: *
Occupation(s): *

Date of Birth

Please Select the Day, Month & Year you were born

Day: *
Month: *
Year: *
E-mail *
Daytime Telephone Number: *
Correspondence Address: *
Address to be Insured (If Different):
What Directed You To Our Website?:

Property Details

Type of Property: *
Property Status: *
Year Property Built: *
Number of Bedrooms: *
Is the property your main residence? *
Yes
No
Do you own the property? *
Yes
No
Is the property of standard construction (brick walls and pitched tiled roof)? *
Yes
No
Is the property normally occupied on a daily basis? *
Yes
No
Will the property be unoccupied for more than 30 consecutive days? *
Yes
No
Is the property listed? *
Yes
No
Is there any renovation/construction work in progress or planned for next year? *
Yes
No
Are there any signs/history of subsidence, heave or landslip? *
Yes
No
Is there any history of flood or is the property situated within 1/4 mile of watercourse or sea? *
Yes
No
Are there any trees within influencing distance? *
Yes
No
Is the property used in connection with trade or business? *
Yes
No
Is the property occupied by any non-family members? *
Yes
No
Have you ever had any previous terms imposed by insureers or had renewal refused? *
Yes
No
Has any resident received a criminal conviction or have a prosecution pending? *
Yes
No
Has any resident received any county court judgements or declared themselves bankrupt: *
Yes
No
Please supply futher details where necessary:

Locks

Are all external doors secured by 5 lever mortice deadlocks? *
Yes
No
Are any patio doors secured with top and bottom locks? *
Yes
No
Are all accessible windows and skylights secured by key operated window locks? *
Yes
No

Alarms

Burglar Alarm - Bells/Siren only *
Yes
No
Burglar Alarm - Connected to a central monitoring station: *
Yes
No
Fire Alarm *
Yes
No
Smoke Detectors *
Yes
No

Safe Details

Do you have a safe installed? *
Yes
No
If yes, please confirm the make and model:
Is the safe fitted to the wall, anchored to the floor or free standing? *
Please confirm the cash rating of the safe: *
Is there any other security information to be taken into account e.g. Neighbourhood Watch?

Additional Information

Previous Insurance & Claims History

Renewal Date/Cover required from: *
Current/previous Insurer *
Renewal Premium *
Please confirm how long you have held contents insurance for: *
Please confirm how long you have held buildings insurance for: *
Please confirm details of any claims you have made under any Buildings or Contents insurance policy in the past 5 years:

Cover

Please confirm the sums to be insured by completing the table below.
If you require any assistance completing this table or are interested in
having a professional valuation or a risk management survey, please contact
us to discuss further.

A number of our insurers will automatically include full accidental damage
and provide cover for all of your contents on a worldwide basis. If this is
not required please indicate below.

Buildings

Buildings sum insured *

(to represent the full re-building cost of your home -
for further information visit http://abi.bcis.co.uk

Outbuildings sum insured: *

Contents

General Contents: *
Is accidental damage and worldwide cover required? *
Wine Collection: *
Outdoor items (e.g. garden furniture, statuary or urns): *
Ride on mowers, tractors or quad bikes *

Fine Art & Antiques

Household gold, platinum, silverware, porcelain and glass: *
Paintings, drawings, maps, prints, photographs, books, manuscripts, tapestries and rugs: *
Antique and/or designer furniture: *
Clocks, barometers, curios, statues, sculptures, stamps, coins, medals, musical instruments, antique guns and other collections: *

Valuables/Personal Poessessions/Specified Items

Personal Possessions (total value of items regularly removed from the home e.g. pedal cycles, cameras, mobile phones etc. *
Jewellery and watches normally worn: *
Jewellery and watches kept in a safe: *
Jewellery and watches kept in bank vault or safety deposit: *
Saddles and tack: *
Guns: *
Money: *
Credit cards: *
Please list any single item to be insured which exceeds £5,000 in value: *
Please list any pedal cycle to be insured which exceeds £1,000 in value: *
Are there any other specific requirements for the insurance policy? *

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).

Agreement

I have read and agree to the terms and conditions above: *

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