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Occupation of premises |
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Please confirm: |
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That the premises are used solely as a private dwelling by the proposer and family |
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or that the premises are only let or lent on a short term basis |
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Give the anticipated frequency and periods of occupation |
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What arrangements are made for supervision and at what intervals are the premises supervised? |
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Construction and use |
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Please confirm: |
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That the premises are built of brick, stone or concrete, roofed with slate, tile, asphalt, metal or concrete and are in good condition and repair |
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That the premises are not in an area which is free from flooding and not within 250 metres of any river, stream or tidal water |
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That the premises are not abnormally exposed to the risk of storm |
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That the premises do not have a basement or cellar |
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That the premises are not undergoing any form of refurbishment or renovation or likely to be within the next 12 months |
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That the premises are not heated by open fire(s), wood or solid fuel stoves |
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Security |
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Please confirm: |
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that all final exit doors are fitted with 5-lever mortice deadocks or equivalent |
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that all windows, fanlights and skylights are fitted with key-operated locks |
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that any outbuildings are secured against illegal entry |
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Previous insurance |
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Date of expiry of previous policy |
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please confirm that no insurer has declined to accept, cancelled, refused to continue or agreed to continue subject to special terms any insurance for the proposer or any other person to whom this insurance would apply |
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Losses |
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please confirm that the proposer, or any other person whose property is to be insured, has not sustained any loss or damage during the last five years whether insured or not |
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Other information |
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please confirm: |
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that you, or any other person who is or who will be occupying the premises, have never been convicted of any offence (other than a motoring offence) |
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that there are no other factors affecting this insurance of which you are aware |
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Next |
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