house insurance - buildings insurance - contents insurance


We have access to a wide range of insurers and schemes, providing flexibility and value for money for our customers. Our experienced advisors will search for a competitive quotation with cover suited to your needs, and we have a wide range of 'add-on' products available to you, from extended garden or caravan cover to legal expenses cover.


Please complete the quotation request below or click here if you would like a consultant to call you.

call us on 01726 871144


about you...

Your Name


E-mail address (required)






Telephone No


about The insured



Your occupation


Your date of birth


Marital status

Married Single

if married please give your spouse's date of birth


Spouse's occupation


Present Insurer


Date of expiry of present insurance


Have you had any claims or losses in the last 5 years?

Yes No

if yes, please give details including dates


about the property

Address of the property to be insured
(if different from that previously supplied)




What year was the property built?


Is the property to be insured


If the property is a house, is it...


No of bedrooms


No of bathrooms

Constructed of




Is the property


Does the property have a garage?

Yes No

if yes is the garage


if not brick or stone, what is the garage's construction?


Is the property a listed building?

Yes No

Are there any trees within 7 metres of the property?

Yes No

Does any resident in the property smoke?

Yes No

Is the property situated close to cliffs, quarries, rivers etc?

Yes No

if you have answered 'yes' to the above, how close?

Please confirm the following about the property:

The property is in a good state of repair

Yes No

Is in a flood free area

Yes No

Has a self contained entrance

Yes No

Is in an area free from subsidence, heave and landslip

Yes No

Has not been underpinned

Yes No

If you have answered 'no' to any of the above please call us free on 0500 401226


Total number of occupants


Are any of these people not members of your family?

Yes No

How many occupants are there under 18 years of age?


Approximately, how many hours per day is the property unoccupied


Approximately, how many hours per night is the property unoccupied?


Is the property or any part of it occupied for business purposes

Yes No

if yes, please give details


about the cover

Buildings cover

What is the rebuilding cost of the property?


Do you require accidental damage cover for the buildings?

Yes No

If you do not require contents insurance click here, otherwise complete the fields below

Contents Cover

How much cover do you require


Please check which of the following you wish to include and give the required sum insured



Sum insured

Freezer foods






Credit cards



Do you wish to include any specified items on the policy?

Yes No

if yes, please enter descriptions and values


Do you wish to include accidental damage cover on the contents insurance?

Yes No

alarm systems

Does the property have an alarm?

Yes No(if no, please click here)

Type of alarm


Was the alarm professionally installed?

Yes No

By whom?


Does the alarm system have a maintenance contract?

Yes No

further information

Do you have any no claims discount (NCD) realting to the buildings cover?

Yes No

if yes, how much

% or years

Do you have any no claims discount (NCD) realting to the contents cover?

Yes No

if yes, how much

 % or years

Please state your required voluntary excess


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