Please take reasonable care to answer all the above questions accurately and completely. If you don’t, your policy may be cancelled, or treated as if it never existed, or your claim rejected or not fully paid.

About You

Your Personal Details:

  • Confirm
  • Cannot Confirm
These should be the details of the main proposer, who must be the owner of the property and/or contents to be insured.
This should be the postcode of your correspondence address.
 

Policy Address:

 

Contact Details:

Please note we will only contact you regarding admininstration of your policy unless otherwise agreed by you.
Please enter your email address so that we can send you your quotation and documentation, and details of other offers if you have chosen this option.
  • I Can Confirm
  • I Cannot Confirm
  • Yes
  • No
To be a joint policyholder the person must either own the home you wish to insure and/or its contents jointly with you, or own part of the home you wish to insure and/or some of its contents.
 

CCJs/IVAs:

  • Yes
  • No
  • Yes
  • No
  • Personal
  • Commercial
 

Convictions:

  • Yes
  • No
  • Yes
  • No
 

Refused or had cover cancelled or voided:

  • Yes
  • No
 

Additional Information:

  • Yes
  • No
 
Key Benefits *
  • Up to £1,500,000 of home insurance and up to £150,000 of contents online. Call us on 0330 113 7109 for higher levels
  • FREE Legal & Home Emergency cover automatically included
  • Accommodation cover up to 24 months while your house is repaired
  • Optional accidental damage cover including damage by pets
  • Legal expense cover for any form of illegal discrimination

* for standard home & contents policies