Charles Insurance Consultants Ltd

LET / UNOCCUPIED PROPERTY QUOTES


1. Name:
2. Correspondence address:
Post Code:	Tel. Number:
e-mail (if you have any):
3. Address of property to be insured:
Post code:
4. Buildings sum insured (rebuilding cost):	£

8. Is the property:
	A listed building?	Yes No
	Near a riverbank?	Yes No	If yes distance from riverbank:
9. Security:
	Smoke Detectors:	Yes No
	Alarm:	Yes No	If yes please state :
	Locks on Doors & Windows:	Yes No
	Safe Installed:	Yes No
	Security Lights:	Yes No
	Neighbourhood Watch:	Yes No

10. Currently occupied:	Yes No
11. If so, type of tenants:	Other:
12. Type of lease:
13. If unoccupied, reason:
14. Landlords contents (if any):	£
15. Loss of rent (if any):	£
16. Subsidence cover required:	Yes No
If "yes", is any history of subsidence or landslip?
17. How long have you owned property?
18. Any claims? if so please provide details as follows	Yes No
If "Yes", please provide details and costs:	1. Date: What happened: Amount paid: 2. Date: What happened: Amount paid: 3. Date: What happened: Amount paid: 4. Date: What happened: Amount paid: 5. Date: What happened: Amount paid:
19. Current insurers:
20. Expiry date:
21. Target premium: (if known)
22. And finally, is there a mortgage lender?	Yes No
If "Yes" please provide name and address (if known)

Do you want a Quote in:	24 hrs working 3 Days working 5 Days working