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Building Details
Details
Insurance History
Details of Insurance History
Schedule of Property
Cost of Building
Your Quote
Quote
Your Full Name
Your Email Address
Your Phone Number
Home Address (GhPost GPS preferred)
Type of Residence
Type of Residence
Flat
Service Flat
Dwelling House
Is Flat Self-Contained?
Is Flat Self-Contained?
Yes
No
Is any portion of the external walls constructed with materials other than of brick, stone or concrete
Yes
No
Details of Material used for Wall
Is any portion of the roof of the premises constructed with materials other than of Slates, Tiles, Concrete, Metal or Asbestos?
Yes
No
Details of Material used for Roof
To what extent will the premises be left unoccupied?
Is the property already insured with another Insurance Company?
Is the property already insured with another Insurance Company?
Yes
No
Type of Policy
Company Name
Have you ever sustained loss through any of the contingencies against which you now propose to insure
Have you ever sustained loss through any of the contingencies against which you now propose to insure
Yes
No
Type of Loss
Date of Loss(Approx)
Amount of Loss
Has any company declined you insurance ?
Has any company declined you insurance ?
Yes
No
Details of Declined Insurance
Number of people living in the house other than the proposer
Total Cost of Building including Garages,Outbuildings,offices,stables, walls, gates,fences and landlord's fixtures and fittings
On Household Goods and Personal effects every description the property of the Proposer or of any member of the Proposer’s family normally residing with the Proposer and Fixtures and Fittings the Proposer’s own or for which the Proposer is legally responsible as Tenant and not as Owner in the buildings of the Proposer’s private residence constructed of Brick, Stone or Cement Blocks/Concrete with Slate, Tile, Concrete, Asbestos or Metal roofs
If there are any items of greater value than 5% of the total cost of building, kindly specify here
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