Seico Insurance Consultants

Landlords Insurance

Thank you for using the landlords insurance quotation form. After submitting this form, you will be contacted by us with the most competitive for your policy within the next 24 hours. Different companies have different terms and conditions so it is important to check the quotes you recieve.

Name and contact phone number:
Email:
Occupation:
Correspondence Address:
Risk Address:
Clients date of birth
Year property was built
Number of Bedrooms
Buildings Sum Insured £
Contents Sum Insured £
Rent Sum Insured £
Inception Date

GENERAL QUESTIONS - If you answer no to any of the questions, please provide the additional details in the continuation box at the end of the form.
		YES NO
1 Is the dwelling (a) built of brick, stone or concrete (b) roofed with slates, tiles, metal, asphalt or concrete		1(a) 1(b)
2 (a) Is the dwelling used for any business purposes or (b) Does the dwelling adjoin any business premises		2(a) 2(b)
3 Is the dwelling in a good state of repair and will it be so maintained		3
4 Have you, or any member of your family permanently residing with you (a) an insurance policy in force covering any of the events against which you wish to insure (b) ever suffered a loss from any of the events against which you wish to insure (c) ever been refused insurance or had special terms imposed by any insurer in respect of any of the events against which you wish to insure		4(a) 4(b) 4(c)
5 Are all external doors of solid wood and fitted with at least one mortise deadlock		5
6 (a) Is the dwelling particularly exposed to storm or flood damage (b) Has there been any history of flood damage in the immediate area		6(a) 6(b)
7 Type of property (a) House (b) House converted into flats (c) Other		7(a) 7(b) 7(c)
8 Is the dwelling (a) currently unoccupied (b) free from any signs of damage by subsidence, heave or landslip with no cracks in external walls and no history of damage by these events (c) in an area where neighbouring properties are free from damage by subsidence heave or landslip with no cracks in external walls with no history of damage by these events		(a) (b) (c)
9 Is the dwelling let to (a) Working People (b) Students (c) DSS / Council (d) Housing Association		(a) (b) (c) (d)
10 Are there any cooking facilities in the bedrooms		10

11 Please give the name and address of any interest in the buildings (e.g. Mortgage Lender) which should be noted in the policy
continuation area for additional comments in response to 'no' answers:
Declaration I/We declare that to the best our my/our knowledge and belief the answers given are true and all Material Facts have been disclosed. I/We agree that this proposal is for insurance of the normal terms of the Insurer's policy and shall be incorporated in and form the basis of the insurance contract