Let Commercial Insurance

Insurance2day Insurance Services Ltd are authorised and regulated by the Financial Services Authority and are members of:

Please Complete Your Details Below For A Quotation

Contact Name - Title & Surname:

Contact Name - First Name:

Name of Insured (if different):

Contact Number:

E-mail Address:

PROPERTY DETAILS

Address of Property to be Insured:

Postcode:

Approx. Date Property Built:

Sums Insured

Buildings Sum Insured (£):

Is Subsidence Cover Required?

Property Owners Liability:

Landlords Contents (optional) (£):

Property Details

Property Type:

Details of Tenants:

Occupancy Status:

Details if Unoccupied or Other:

Is the whole of the property to be insured?

Details if No:

Is any section of the property owner occupied and/or sold on a long lease?

Is the property let with more than one tenancy agreement?

If YES, to any of the above please give full details:

STATEMENT OF FACT

If you agree with the above statements please tick here:

If you do not agree with any of the above statements please tick here and give full details below:

Comments

CLAIMS/LOSSES

Please details of ALL and ANY losses you have suffered or claims you have made in the last five years (please advise date(s), cost(s) and circumstances:

Any Additional Information/Comments:

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