Thatched Insurance Quote Form

Title
Name*
FirstLast
Date of Birth*
Full and Part-Time Occupation(s)*
Please list all occupations including full and part-time
Email*
Contact Telephone Number*
Mobile Telephone Number
Date cover required from?
Name of current insurers?
Renewal Premium? (£)

Address of property to be insured
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Is the property main residence?
If not main residence, please tick all that apply
- Second Home
- Holiday Let
- Professional Let
- Unoccupied
What is the construction of the walls?*
What is the construction of the roof?*
If roof thatched - please state percentage of thatch %:
Is the property listed?
Grade I buildings are of exceptional interest. Grade II* are particularly important buildings of more than special interest. Grade II are of special interest, warranting every effort to preserve them.

Building sum insured (£)*
Please enter building sum insured. Enter 0 if not required.
Content sum insured (£)
Is the property?
If Other, please provide details*
Has the property ever suffered from subsidence, ground Heave or Landslip?
Has the property ever suffered flooding or in an area which has been flooded?
Has the Property any Trees within influencing distance of the property?
If Yes to any of the above, please give full details*
Is the Property having any Structural renovation works, being refurbishment or being re-decorated?
If Yes, please give full details*
Is planning permission required for the changes being made?
Does the property have a working alarm system
Does the property have a woodburning stove?
Does the property have a Multi fuel?
Does the property have a open fire?
Please provide details of heating system(s) used within the premises
Claims History / Other relevant information (if none please state NONE):*
Your insurance is based upon the information provided to the insurance company and you must ensure that all such information is complete and accurate and that any facts that may influence the insurer's decision to accept and pay a valid claim are disclosed. Failure to disclose material information may invalidate your insurance and could mean that all of part of a claim may not be paid.
I have read and understood your terms of business.
I have read and amended the above form where necessary and all answers are correct to the best of my knowledge and belief *
- I Agree

Thatched Home Insurance Quote Form