Proposer Details |
| Proposer(s) Name: * |
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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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| Email: * |
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| Occupation(s): * |
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| Daytime telephone number: * |
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| Mobile/other telephone number: |
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| Correspondence Address: * |
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| Address to be insured: * |
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| What Directed You To Our Website?: |
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Property Details |
| Type of property: * |
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| Property status: * |
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| Year property built: * |
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| Number of bedrooms: * |
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| Do you own the property? * |
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| Is the property of standard construction (brick walls and pitched tiled roof)? * |
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| Is there any renovation/construction work in progress or planned for next year? * |
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| Are there any signs/history of subsidence, heave or landslip? * |
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| Is there any history of flood or is the property situated within 1/4 mile of watercourse or sea? * |
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| Has the property ever suffered and earthquake or has any property within 250 metres of your property suffered from an earthquake? * |
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| Are there any trees within influencing distance? * |
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| Is the property used in connection with trade or business? * |
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| Will the property be let? * |
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| Is it let commercially? |
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| Is it let to family members? |
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| Please supply further details where possible: |
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Locks |
| Are all external doors secured by multipoint locking devices? * |
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| Are any patio doors secured with top and bottom locks? * |
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| Are all accessible windows and skylights secured by key operated window locks? * |
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| Any other protection e.g. bars or shutters? * |
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| Comments: |
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Alarms |
| Burglar Alarm: * |
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| Fire Alarm: * |
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| Smoke Detectors: * |
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| Comments: |
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Previous Insurance & Claims History |
| If held, please confirm the name of your previous insurers: |
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| Please confirm the expiry date of the policy: |
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| Please confirm details of any claims you have made under any Buildings or Contents insurance policy in the past 5 years: |
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Cover |
| Buildings sum insured (re-building cost): * |
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| Contents sum insured (replacement as new): * |
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| Fine art & antiques sum insured: * |
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| Additional comments |
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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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