Block Of Flats Insurance Quote Form

For UK Customers Only

Please insert your details here and one of our insurance advisers will contact you shortly.

This form is designed for quotes for proposers who require block of flats buildings insurance with options to include property owners liability, contents of communal area's, etc.

For assistance with the completion of this form or if you have any queries, please phone us on 01623 641 386.

Proposers Details

Owner(s) Of The Block of Flats
Proposers Name(s) (incl. all partners names if partnership):
Ltd Company Name (if applicable):
Status of Business:
Proposers Ownership Status:
Proposers Correspondence Address:
Postcode:
Daytime Telephone No.
E-Mail Address:
Proposers History
Has any insurer ever refused, declined, cancelled or imposed special terms?	Yes No
Have you, or any partner or director ever been convicted of or charged with any criminal offence?	Yes No
Have you, or any partner or director ever been declared bankrupt or insolvent?	Yes No
Have you, or any partner or director ever been declared prosecuted under Health & Safety legislation within the past 5 years?	Yes No
Number of years operating as a property owner?	years

Property Details

What date was the block of flats purchased?	(dd/mm/yyyy)
Block of Flats Risk Address
Address of property to be insured:
Postcode of property to be insured:
Risk Details
Is the block of flats purpose built or a converted property?	Purpose Built Converted
Please confirm the approx. date of conversion:	(yyyy)
Are any of the area's of the building unoccupied?	Yes No
If yes, what percentage is unoccupied?	%
Does the block of flats solely contain private flats? (i.e. no commercial area's)	Yes No
If no, please provide details of the commercial section: (e.g. hairdresser, restaurant, unoccupied shop, etc.)
Total number of flats within the building:
Are any flats let as furnished?	Yes No
Are any flats let as student accommodation or to DSS referrals?	Yes No
Are any flats let on a short term lease of less than 6 months?	Yes No
Security / Fire Appliances
Is there an electronic door entry system?
Is there a NACOSS/NSI approved intruder alarm?
Is there CCTV with 24 hour monitoring?
Is a fire alarm installed?
Construction
Construction of Walls (e.g. brick, stone, etc.):
Construction of Roof (e.g. tile, slate, flat, etc.):
Percentage Flat Roofing (if applicable):	%
If any flat roofing, please confirm the type (e.g. 'felt/bitumen on wood' or 'concrete flat roof'):
Construction of Floors (e.g. concrete, wood, etc.):
Number of storeys:
Approximately, what year was the property built?
Is the property a grade listed building? (e.g. grade I, II, etc.)
Claims Experience
Have you or any other director or partner suffered any loss or had any claims made against the property in the last 5 years?	Yes No
If yes, please provide details: (i.e. date of claim, amount claimed, circumstances of the claim, etc.)	Date of Claim: Amount Claimed:£ Details of Claim: ---------------------- Date of Claim: Amount Claimed:£ Details of Claim: ---------------------- Date of Claim: Amount Claimed:£ Details of Claim: ---------------------- Unfortunately, we will be unable to provide a quotation if you have had more than 3 claims.
Has the property ever suffered from any subsidence or flood damage?	Yes No
If yes, please provide details: (e.g. date of damage, amount of damage, etc.)

Property Cover

Cover Required
Level of cover required:
Is cover required for subsidence?	Yes No
Is cover required for terrorism?	Yes No
Buildings Sum Insured
Buildings Sum Insured (£'s):
Buildings excess required: (Larger excess will reduce the premium)
Loss of Rent (if applicable)
Is cover required for loss of rent?	Yes No
If yes, please confirm the current rent receivable (£'s):	(£'s per annum)
Property Owners Liability
Is cover required for Property Owners Liability?	Yes No
If yes, please state the cover required:
Employers' Liability
Is Employers' Liability cover required? (e.g. for caretakers, gardeners, cleaners, etc.)	Yes No
If yes, please confirm the total number of employees:
If yes, please also confirm the total wages of the employees (£'s):	(£'s per annum)
What type of work is carried out by the employees? (e.g. property maintenance, cleaning, etc.)

Contents Of Communal Parts
Is cover for contents of communal areas required?	Yes No
If yes, please confirm the contents sum insured (£'s):

Additional Information / Covers

If there is any other information that you wish to disclose, or any other cover that you wish to include, please provide details:

Details Of Current / Previous Policies

Current annual premium:	This may help us to get you a better quote
Current insurer:
Renewal date/date cover required:	(dd/mm/yyyy)

Request Quotation

Disclosure
Please ensure that all the information you have provided is correct and that you have answered all the questions accurately then press the Request Insurance Quotation button to send your quotation details to us.