Tel: 01623 641 386     
Landlords Multiple Property Insurance
 
Midlands Insurance Services Logo


Main Menu



Multiple Property Insurance Quotation Form

For UK Customers Only

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

This form is designed for quotes for property owners who wish to insure multiple properties or portfolios of properties with the option to include property owners liability, loss of rent, glass, etc.

Please note that this online quote form can accommodate up to a maximum of 10 properties.

For assistance with the completion of this form or if you have more than 10 properties, please phone us on 01623 641 386.

Proposers Details

Owner(s) Of The Property
Proposers Name(s)
(incl. all partners' names if partnership):
Limited Company Name:
(only if a Ltd. company owns the buildings)
Ownership Status:
Proposer's Correspondence Address:
Postcode:
Daytime Telephone No.
E-Mail Address:
Proposers History
Has any insurer ever refused, declined,
cancelled or imposed special terms?
Yes     No
If yes, please provide details:
Have you, or any other partner or director ever been
convicted of or charged with any criminal offence?
Yes     No
If yes, please provide details:
(i.e. type of conviction(s), date of
conviction(s), length of custodial
sentence or details of any fines imposed, etc.)
Have you, or any other partner or director
ever had any county court judgements or
ever been declared bankrupt or insolvent?
Yes     No
If yes, please provide details:
(i.e. date of bankruptcy/insolvency, amount of
bankruptcy/insolvency, date of discharge, etc.)
No. of years operating as a property owner? years
Cover Required
Level of cover required:   help
Is cover required for subsidence?Yes     No   help
Is cover required for terrorism?Yes     No   help
Property owners liability limit of indemnity:   help

Property 1.

Risk Address 1.
Address of property to be insured:
Postcode of property to be insured:
Risk Details
Occupation/Business of Main Tenant(s):
(please state if unoccupied)
Approximately, what year was the property built?
Is the property a listed building? (e.g. grade I, II, etc.)
Occupancy Details
Please state the tenancy of the occupant:
Are any of the areas of the building unoccupied?Yes     No
If yes, please provide details:
Construction
Property details:
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 state the type
(e.g. 'felt/bitumen on wood' or 'concrete flat roof'):
Construction of Floors (e.g. concrete, wood, etc.):
Buildings
Buildings Sum Insured (£s):   help
Loss of Rent
If cover is required for loss of rent,
please state the current rent receivable (£s):
  help
(£'s per annum)
Landlords Contents
Landlords Contents (if required) (£s):   help
Additional Properties
Do you wish to add another property?Yes     No

Property 2.

Risk Address 2.
Address of property to be insured:
Postcode of property to be insured:
Risk Details
Occupation/Business of Main Tenant(s):
(please state if unoccupied)
Approximately, what year was the property built?
Is the property a listed building? (e.g. grade I, II, etc.)
Occupancy Details
Please state the tenancy of the occupant:
Are any of the areas of the building unoccupied?Yes     No
If yes, please provide details:
Construction
Property details:
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 state the type
(e.g. 'felt/bitumen on wood' or 'concrete flat roof'):
Construction of Floors (e.g. concrete, wood, etc.):
Buildings
Buildings Sum Insured (£s):   help
Loss of Rent
If cover is required for loss of rent,
please state the current rent receivable (£s):
  help
(£'s per annum)
Landlords Contents
Landlords Contents (if required) (£s):   help
Additional Properties
Do you wish to add another property?Yes     No

Property 3.

Risk Address 3.
Address of property to be insured:
Postcode of property to be insured:
Risk Details
Occupation/Business of Main Tenant(s):
(please state if unoccupied)
Approximately, what year was the property built?
Is the property a listed building? (e.g. grade I, II, etc.)
Occupancy Details
Please state the tenancy of the occupant:
Are any of the areas of the building unoccupied?Yes     No
If yes, please provide details:
Construction
Property details:
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 state the type
(e.g. 'felt/bitumen on wood' or 'concrete flat roof'):
Construction of Floors (e.g. concrete, wood, etc.):
Buildings
Buildings Sum Insured (£s):   help
Loss of Rent
If cover is required for loss of rent,
please state the current rent receivable (£s):
  help
(£'s per annum)
Landlords Contents
Landlords Contents (if required) (£s):   help
Additional Properties
Do you wish to add another property?Yes     No

Property 4.

Risk Address 4.
Address of property to be insured:
Postcode of property to be insured:
Risk Details
Occupation/Business of Main Tenant(s):
(please state if unoccupied)
Approximately, what year was the property built?
Is the property a listed building? (e.g. grade I, II, etc.)
Occupancy Details
Please state the tenancy of the occupant:
Are any of the areas of the building unoccupied?Yes     No
If yes, please provide details:
Construction
Property details:
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 state the type
(e.g. 'felt/bitumen on wood' or 'concrete flat roof'):
Construction of Floors (e.g. concrete, wood, etc.):
Buildings
Buildings Sum Insured (£s):   help
Loss of Rent
If cover is required for loss of rent,
please state the current rent receivable (£s):
  help
(£'s per annum)
Landlords Contents
Landlords Contents (if required) (£s):   help
Additional Properties
Do you wish to add another property?Yes     No

Property 5.

Risk Address 5.
Address of property to be insured:
Postcode of property to be insured:
Risk Details
Occupation/Business of Main Tenant(s):
(please state if unoccupied)
Approximately, what year was the property built?
Is the property a listed building? (e.g. grade I, II, etc.)
Occupancy Details
Please state the tenancy of the occupant:
Are any of the areas of the building unoccupied?Yes     No
If yes, please provide details:
Construction
Property details:
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 state the type
(e.g. 'felt/bitumen on wood' or 'concrete flat roof'):
Construction of Floors (e.g. concrete, wood, etc.):
Buildings
Buildings Sum Insured (£s):   help
Loss of Rent
If cover is required for loss of rent,
please state the current rent receivable (£s):
  help
(£'s per annum)
Landlords Contents
Landlords Contents (if required) (£s):   help
Additional Properties
Do you wish to add another property?Yes     No

Property 6.

Risk Address 6.
Address of property to be insured:
Postcode of property to be insured:
Risk Details
Occupation/Business of Main Tenant(s):
(please state if unoccupied)
Approximately, what year was the property built?
Is the property a listed building? (e.g. grade I, II, etc.)
Occupancy Details
Please state the tenancy of the occupant:
Are any of the areas of the building unoccupied?Yes     No
If yes, please provide details:
Construction
Property details:
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 state the type
(e.g. 'felt/bitumen on wood' or 'concrete flat roof'):
Construction of Floors (e.g. concrete, wood, etc.):
Buildings
Buildings Sum Insured (£s):   help
Loss of Rent
If cover is required for loss of rent,
please state the current rent receivable (£s):
  help
(£'s per annum)
Landlords Contents
Landlords Contents (if required) (£s):   help
Additional Properties
Do you wish to add another property?Yes     No

Property 7.

Risk Address 7.
Address of property to be insured:
Postcode of property to be insured:
Risk Details
Occupation/Business of Main Tenant(s):
(please state if unoccupied)
Approximately, what year was the property built?
Is the property a listed building? (e.g. grade I, II, etc.)
Occupancy Details
Please state the tenancy of the occupant:
Are any of the areas of the building unoccupied?Yes     No
If yes, please provide details:
Construction
Property details:
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 state the type
(e.g. 'felt/bitumen on wood' or 'concrete flat roof'):
Construction of Floors (e.g. concrete, wood, etc.):
Buildings
Buildings Sum Insured (£s):   help
Loss of Rent
If cover is required for loss of rent,
please state the current rent receivable (£s):
  help
(£'s per annum)
Landlords Contents
Landlords Contents (if required) (£s):   help
Additional Properties
Do you wish to add another property?Yes     No

Property 8.

Risk Address 8.
Address of property to be insured:
Postcode of property to be insured:
Risk Details
Occupation/Business of Main Tenant(s):
(please state if unoccupied)
Approximately, what year was the property built?
Is the property a listed building? (e.g. grade I, II, etc.)
Occupancy Details
Please state the tenancy of the occupant:
Are any of the areas of the building unoccupied?Yes     No
If yes, please provide details:
Construction
Property details:
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 state the type
(e.g. 'felt/bitumen on wood' or 'concrete flat roof'):
Construction of Floors (e.g. concrete, wood, etc.):
Buildings
Buildings Sum Insured (£s):   help
Loss of Rent
If cover is required for loss of rent,
please state the current rent receivable (£s):
  help
(£'s per annum)
Landlords Contents
Landlords Contents (if required) (£s):   help
Additional Properties
Do you wish to add another property?Yes     No

Property 9.

Risk Address 9.
Address of property to be insured:
Postcode of property to be insured:
Risk Details
Occupation/Business of Main Tenant(s):
(please state if unoccupied)
Approximately, what year was the property built?
Is the property a listed building? (e.g. grade I, II, etc.)
Occupancy Details
Please state the tenancy of the occupant:
Are any of the areas of the building unoccupied?Yes     No
If yes, please provide details:
Construction
Property details:
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 state the type
(e.g. 'felt/bitumen on wood' or 'concrete flat roof'):
Construction of Floors (e.g. concrete, wood, etc.):
Buildings
Buildings Sum Insured (£s):   help
Loss of Rent
If cover is required for loss of rent,
please state the current rent receivable (£s):
  help
(£'s per annum)
Landlords Contents
Landlords Contents (if required) (£s):   help
Additional Properties
Do you wish to add another property?Yes     No

Property 10.

Risk Address 10.
Address of property to be insured:
Postcode of property to be insured:
Risk Details
Occupation/Business of Main Tenant(s):
(please state if unoccupied)
Approximately, what year was the property built?
Is the property a listed building? (e.g. grade I, II, etc.)
Occupancy Details
Please state the tenancy of the occupant:
Are any of the areas of the building unoccupied?Yes     No
If yes, please provide details:
Construction
Property details:
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 state the type
(e.g. 'felt/bitumen on wood' or 'concrete flat roof'):
Construction of Floors (e.g. concrete, wood, etc.):
Buildings
Buildings Sum Insured (£s):   help
Loss of Rent
If cover is required for loss of rent,
please state the current rent receivable (£s):
  help
(£'s per annum)
Landlords Contents
Landlords Contents (if required) (£s):   help

Claims Experience

Claims Experience
Have you suffered any loss or had any claims made
against any of the above properties in the last 5 years?
Yes     No
Please provide details of all claims:
(i.e. address of property, date of claim,
amount claimed, circumstances of the claim, etc.)

Additional Information / Covers

If there is any other information you
wish to disclose or if you have any
additional cover requirements, 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.