Property Quote Direct - Commercial Insurance

Title: *

Please select a title

First Name: *

Please enter your first name

Last Name: *

Please enter your last name

Main Telephone Number: *

Please enter a valid telephone number

Alternative Telephone Number:

Please enter a valid telephone number

Email: *

Please enter your email address

Correspondence Address Postcode: *

Please enter a Correspondence Address Postcode and click Find Address to continue

Property to Insure Address:

Please select a Correspondence Address and click next to continue

Correspondence Address Line 1: *

Please enter the first line of your Correspondence address

Correspondence Address Line 2:

Correspondence Address Line 3:

Correspondence Address City/ Town: *

Please enter the Correspondence address city/ town

Required Start Date Of Cover: *

Please enter the start date

How Long Have You Owned The Property?: *

Please enter how long you have owned the property

Trade/Occupation of the Building: *

Please enter the trade/ occupation of the building

Rebuild Cost Of The Property (£): *

Please enter the rebuild cost of the property

Loss Of Rent Cover Required?: *

Yes No

Please select whether loss of rent cover is required

If So, Please State Amount (£):

Please enter the loss of rent cover amount

Have You Made Any Claims In The Past 5 Years? : *

Yes No

Please select whether you have made any claims in the past 5 years

Postcode: *

Please enter a Correspondence Address Postcode and click Find Address to continue

Address:

Please select an address

Address Line 1: *

Please enter the first line of your correspondence address

Address Line 2:

Address Line 3:

Address City/ Town: *

Please enter the correspondence address city/ town

Number Of Stories: *

Please select the number of stories

Wall Type: *

Please select the wall type

Roof Type: *

Please select the roof type

Floor Type? : *

Timber Concrete

Please select the floor type

What Type Of Heating Is There At The Property?: *

Please enter the type of heading at the property

Is There Any Flat Area Of Roof? : *

Yes No

Please select whether there is any flat area of roof

Is The Property Listed? : *

Yes No

Please select whether the property is listed

Year Built: *

Please enter the year built

Are There Any Flats Above The Property?: *

Yes No

Please select whether there are any flats above the property

Tenant Type:

Please select the tenant type

Best Quote So Far (£):

Please enter the best quote so far

Best Time To Contact You:

Please select the best time to contact you

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Policy Details

Property Details

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