Monday, 6th February 2012
x

Send to a Friend





Where am I? Home > Buildings & Contents > Quote

Landlord's Buildings & Contents Insurance



Buildings and/or Contents Application – Step 1 of 5

  
Landlord’s First Name

Landlord’s Surname

Landlords Address (must be in the UK)


Email Address 		Postcode of Rental Property

Property Type

Type of Tenant If your tenant type is not listed below, please call us for a quote on 0118 970 3775.

Buildings Sum Insured £

Contents Sum Insured with Accidental Damage Cover

Declaration
Before you proceed with the quote application, we would like to remind you that if the questions on the application form are not answered truthfully or should you give incorrect or incomplete information, your insurers might decide that your insurance policy is invalid and this would of course affect any claim that you make. You must also advise us of any changes in your circumstances that might affect the insurance policy once your policy is in force, for example, a change of tenant type or any alterations on the property.

I agree to the above declaration

Buildings and/or Contents Application – Step 2 of 5

Landlord Details

Full Name

Correspondence Address




Email Address

Date of Birthdd/mm/yyyy Occupation Contact Telephone Number Mobile Number Fax Number

Actual Rebuild Sum Insured £ 0
Landlords Contents Sum Insured Required£ 0
(Excludes Accidental Damage)

Rental Property Details

Type of Tenant
Warning: Invalid argument supplied for foreach() in /home/keysafe/public_html/wp-content/themes/keysafeis/forms/buildingscontents-quote.php on line 1283


Type of Property
Warning: Invalid argument supplied for foreach() in /home/keysafe/public_html/wp-content/themes/keysafeis/forms/buildingscontents-quote.php on line 1297


Rental Property Address
Rental Property Postcode

Any History of Subsidence or Flooding? Name of Mortgage Company/Interested Party Year Property Built (yyyy) Year Property Purchased (yyyy)

Policy Start Date

  
When would you like the policy to start?
dd/mm/yyyy

Buildings and/or Contents Application – Step 3 of 5

Claims History

  
Please provide details of all claims made on ANY property within the last 5 years? (leave blank if none)
Date of loss
(dd/mm/yyyy)		 Type of loss Amount of Claim At the risk address?
Yes
Yes
Yes
Oops! Something has gone wrong with your application!
Oops! Something has gone wrong with your application!

Need assistance?

If you have any questions or if you do not wish to purchase online please call us on:

0118 970 3775
Mon to Fri, 9:00am - 5:00pm

Moneyback Guarantee

If you are unsatisfied with your policy then we will provide a full refund within the first 14 days providing no claim has been made.

 
 
 
Feedback Form