Online Empty House Buildings and Contents Insurance Quote

Title
Name*
FirstLast
Date of Birth*
Full and Part-Time Occupation(s)*
Please list all occupations including full and part-time
Are you a property developer?
Email*
Contact Telephone*
Mobile Telephone
Date cover required from?*

Have you or any director or partner: (in the business or any other name under which you have been trading)
Suffered any loss or incurred any liability, whether insured or not, during the last 3 years as a result of the risks proposed (whether at this or any other premises) or had any claims made against you? *
- Yes
- No
Been convicted of or in the course of being charged with any offence (excluding driving offences)? *
- Yes
- No
Been declared bankrupt or been a director of any company that went into liquidation?*
- Yes
- No
Had any insurance declined, cancelled, refused or had any special terms applied by any insurer?*
- Yes
- No
If you have answered 'Yes' to any of the above questions, please provide full details

Address of property to be insured
Street AddressCityState / Province / RegionZip / Postal Code
Number of bedrooms?*
Year of Build*
Please enter YEAR the property was constructed
Is the Property a Listed Building?

Building Sum Insured (£)*
Please enter the rebuild value of the property. Further guidance can be found at http://abi.bcis.co.uk/
Content Sum Insured (£)

Type of Occupancy
How long has the property been unoccupied for?
What is the long term intention for the property?
If other, please give details*
Has the property been boarded up?
Is there a tenant already waiting to move in?

What is the property type
Is the property more than 3 storeys high?
Is any part of the property flat roofed?
If 'Yes' to any of the above two questions, please provide further details
Is the property in a good state of repair and will be so maintained?
Is the property heated solely by electricity, and/or mains gas, and/or solid fuel?
Is the property built solely of brick, stone or concrete and is either flat roofed or roofed with slate, tile or concrete?
If 'No' to any of the above 3 questions, please provide further details

Are the premises:
Protected by a minimum of 5 lever mortice deadlocks on all entrance doors plus key operated window locks? *
Protected by a professionally installed and regularly maintained alarm system?
In a position/area likely to be subject to flooding or where flooding has occurred?
Close to a cliff, quarry or other excavation?
Having any structural alterations, or major renovation work affecting load bearing walls or the roof, or are any such works being planned?
If 'Yes' please provide full details including length of time
Currently having any other building work undertaken, or planned within the next 12 months, that will cost more than £25,000?
If 'Yes' please provide full details
Or any nearby premises showing any sign of existing or previous damage by Subsidence, Heave or Landslip?
Free from any underpinning or any remedial action with regards to subsidence, heave or landslip?
Is any part of the property ever used as a second home, holiday let or any commercial business, whether to be insured on this policy or not?
If 'Yes' to the above please provide full details
Any additional information
Declaration
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

Online Vacant Property Insurance Quote Form

Step 1 of 7 - Personal Details

Declaration