High Value Home Quotation Request

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  • Client Details
  • Sums Insured
  • Home Details
  • Home Protections
  • Insurance Details

Client Details

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*Add a joint policyholder:






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Sums Insured

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Buildings – This figure should represent the full rebuild cost of your home including VAT and Professional Fees. We recommend that you obtain a valuation if you are unsure as to what this figure should be particularly if your property is listed. View the BCIS House Rebuilding Cost Calculator
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Contents – This figure should represent the full replacement cost of all your contents as new. Click here for our Contents Calculator
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Fine Arts – This should represent the replacement cost of these items
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Fine Arts – This should represent the replacement cost of these items
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Fine Arts – This should represent the replacement cost of these items
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Specified Jewellery – This figure should represent the replacement cost for the total of all jewellery items which are individually over £ 2,500 in value. We recommend that up to date valuations are established every three years.
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Unspecified Jewellery – This figure should represent the replacement cost for the total of all jewellery items which are individually less than £ 5,000 in value. We recommend that up to date valuations are established every three years.
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Home Details

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*Is this your main residence:


*Is the property of standard construction?:

Built of brick, stone or concrete and roofed with slates, tiles or concrete.

*Does the property have a felt roof (flat or pitched) covering more than 25% of the total property roof area:


*Is the property free of any signs or history of cracks, subsidence or flooding:


*Is the property used for business:


*Is the property in a good state of repair and maintained at all times:


*Is the property occupied only by you and your family:


*Is the property open to the public:


*Do you employ any domestic staff:


*Are you undertaking or do you intend to carry out any renovation or redecoration work other than routine maintenance or decoration of the property:


*Is the property normally occupied during the day:

*Is property currently unoccupied or going to be unoccupied for more than 60 days of the year:


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*Is there an interest to be noted on the buildings section of the policy:



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Home Protections

*Does the property have its own separate lockable entrance which is under you and your family’s control:


*Ground floor and basement opening windows and any other ground floor openings to the home measuring more than 22.5cm x 22.5cm (9" x 9") secured by key operated window locks:

*Where applicable, are all upper floor opening windows and skylights fitted with key-operated window locks if accessible from adjoining roofs or porches, walls, downpipes, balconies or external stairs:

*Is the final exit door secured by a deadlock conforming to BS3621 or with a minimum of 5 levers or alternatively a multi-point locking system which incorporates a lever or deadlock which is capable of being secured from both sides of the door:

*Are all other external doors protected by a deadlock conforming to BS3621 or with a minimum of 5 levers or key operated security bolts operating horizontally internally top and bottom or multi-point locking systems which incorporate a lever or cylinder deadlock capable of being secured by a key from both sides of the door:


Is your burglar alarm annually maintained by an NSI or SSAIB accredited company:


Is your fire alarm annually maintained by an NSI or SSAIB accredited company:


Safe or Strongroom:


Does the property have Patio/French doors or windows:

If they are hinge type, are they secured by key operated security bolts operating vertically internally:

If they are sliding type, are they secured by key operated bolts fitted internally top and bottom:

*Where applicable, are all doors on domestic outbuildings and garages fitted with key operated locks:


*Gated community with private security guards, CCTV, grills and/or bars on windows:


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Insurance Details

*Are you or any of your family aware of any circumstance(s) which could give rise to a claim of legal proceedings (including criminal prosecution or redundancy) being pursued or brought against you or any member of your family:


*Have you or any of your family been involved in a claim or legal proceeding(s) (including criminal prosecution or redundancy) within the last 3 years:


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Insurance Details

*Annual travel cover required:

Travel cover type:

Location:

Winter Sports:

*Have you made any claims in the last six years:

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*When is your renewal date:
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*Have you ever had any Insurer decline, cancel or declare void any household insurance or had any special terms imposed?:

*Has any member of your household been convicted of any offence other than driving offences:


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