Home Insurance

Insured/Policy Holder

Address

Contact Details

Occupation

Additional Proposer

Additional Proposer Occupation

Criminal Convictions

Claims History

Please advise of any claims that you have had whether made against your policy or not within the last 5 years.

Claim 1

Claim 2

Claim 3

Claim 4

Claim 5

Property

Security

£

£

Item 1

£

Item 2

£

Item 3

£

Item 4

£

Item 5

£

Item 6

£

Item 7

£

Item 8

£

Item 9

£

Contents Required: Building

£

£

Credit Check

To make sure you get the best offer from insurers, now or at any renewal or at any time and to protect their customers from fraud and to verify your identity, they may use publicly available data which they obtain from a variety of sources, including a credit reference agency and other external organisations. Their search will appear on your credit report whether or not your applications proceed.

As well as these searches insurance companies may use a credit check to ascertain the most appropriate payment options for you, this credit check will also appear on your credit report whether or not your applications proceed. By selecting yes you agree to this credit check.