Landing Page Form "*" indicates required fields 1. YOUR DETAILSName(s)*Telephone No.*Address of property (including Eircode)*Email* Enter Email Confirm Email Date of Birth* DD slash MM slash YYYY Occupation*2. YOUR INSURANCE DETAILSCurrent Insurer*Renewal Date* DD slash MM slash YYYY Occupancy* Main Residence Rented Property Holiday Home (Let Out) Holiday Home (Own Use) Number of paying tenants*3. ADDITIONAL DETAILSBuildings Sum Insured*Accidental Damage* Yes No Contents Sum Insured*Accidental Damage* Yes No Type of Property (Detached/Semi/Terraced/Bungalow/purpose built Apartment)*Year of Build*Method of Heating (Oil/Gas/Solid)*Number of Bedrooms*Number of Bathrooms*Approx. Sq Footage*Is there a detached garage? Yes No Is there a minimum of two smoke detectors in place (battery or mains)* Yes No Is there any portion of flat roof* Yes No If the answer is yes, what % of total roof area is flat?Is there an alarm on the property* Yes No Is the alarm connected to a central monitoring station?* Yes No Are all windows secured with Key locks/Internal Locks* Yes No Are all external doors five point locking mechanism / key operated* Yes No Have you had any property claims in the last 5 years?* Yes No Date of Loss MM slash DD slash YYYY Type of lossAmount paidTerms and Conditions* I agree to the terms and conditions.
