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J SANDISON

Insurance Consultant

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Residential Neighborhood

Home Insurance

To get a quote for home insurance, call us on 01250 873619.

We are available 9-5pm Monday- Friday, 9-12.30pm on Thursdays.

We close for lunch between 12.30-1.30pm.

Alternatively please complete the form below. We will be in touch the next working day.

Quotation Enquiry

Does proposer/s live at risk address?

Yes

No

If no, click here for alternative product

Proposer Details

Proposer 1 Title

Full Name

Proposer 2 Title

Full Name

Date of birth

Date of birth

Proposer 1 Occupation

Proposer 2 Occupation

Email

Risk/Correspodence Address

City

Postal / Zip code

Mobile number

Home number

Property Details

Interested parties (Mortgage/Lender)

Number of storeys

Year built

Purchase date of property

Type of property (House/Bungalow/Flat etc)

If flat, which floor is it located and how many storeys are in block?

Ownership

Owned outright

Mortgage

Rented

Is property self contained?

Yes

No

Is proerty listed?

Yes

No

Construction material: Walls

Construction material: Roof

Construction material: Floors

Total number of rooms

No. of bedrooms

No. of bathrooms/ensuites

Type of heating

Is property unoccupied during the day?

Yes

No

Is property solely occupied by the proposer and their family?

Yes

No

Any works planned for property?

Yes

No

If yes, what type of works?

Current Insurance

Existing insurers

Contents sum insured

Expiry date

Personal belongings sum insured

Rebuilding sum insured

Do you have any valuables valued in excess of £1,500?

Yes

No

Any claims in the past 5 years?

Yes

No

Is the property in an area of designated at risk of flood or has thee been any history of flooding in the area?

Yes

No

I confirm that I have read and understood the declaration

Thanks for submitting, we'll be in touch soon

Declaration

This form details the information on which the contract of insurance will be based. You must ensure that all questions have been fully completed and the answers are true and correct to the best of your knowledge and belief. You must ensure that all material facts are disclosed. A material fact is one that is likely to influence us in the assessment or acceptance of this risk. If you are in any doubt as to whether a fact is material you must disclose it.

J Sandison

Insurance Consultant

Telephone: 01250 873619

11 Leslie Street
Blairgowrie
PH10 6AH

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