Unoccupied Commercial Property Owners

Please answer the following questions and press "Send". All fields are mandatory

1. Broker Details
Broker Name
Broker Contact
Broker Phone Number
Broker Email Address
2. Insured Details
Insured Name
Have you ever been refused or declined insurance or been a director of a company has had insurance refused, declined or cancelled?	Yes        No
Have you any CCJ or have any criminal convictions which are non-motor offences?	Yes        No
Risk Address/PostCode
Renewal Date
Current Premium
3. Cover Required
Fire, Lightning, Explosion & aircraft	Option 1
Fire & Perils	Option 2
Fire Perils & AD	Option 3
Fire, Perils, AD & Subsidence, Landslip & Heave	Option 4
Property owners liability    £1,000,000
£2,000,000
£5,000,000
Not Required
Property type    Commercial
Residential
Trade Type / Occupation (Unoccupied / DIY Shop etc.)
If unoccupied future intention (to sell, to let time scales)
Please Provide sums insured for:    Buildings
Contents
Landlords Legal Expenses    Included
I do not need
4. Is the Property
Built of brick, stone or concrete and roof slate or tiles?	Yes        No
Undergoing alteration?(Structural or Cosmetic)	Yes        No
Listed?	Yes        No
Please give details
Heated by a fixed heating system that is mains supplied?	Yes        No
If not please give details
5. Does the property have an IEE electrical Certificate in force?
	Yes        No
6. Claims Experience Please provide details of any claims or incidents likely to give rise to a claim in the past 5 years whether a claim has been made or not.
7. Security What is the security on all external doors & patio doors?
Yale locks
3 lever mortise locks
5 lever mortise dead locks
Key operated multi-point locks
8. Material Facts Please provide any additional information you feel will be relevant to this enquiry (If in doubt as to whether or not it is material please disclose it anyway..