Your Details
Title
First Name
Surname
Date of Birth
Gender
Occupation
Telephone
Email
Do you have any non-motoring convictions?
Your Insurance Details
Policy Start Date
Property Type
Cover Type
Year Built
Is there a history of subsidence in your area?
Is there a history of flooding in your area?
Bedrooms
Roof Construction
Is the property occupied during daytime hours?
Your Address

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Previous/Current Home Insurance Details
Have you had any claims in the past 6 years?
Amounts Insured
Further Details About This Household
Heating System
Voluntary Excess
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Does the household have 2 or more smoke alarms?
Does the household have security locks?
Does the area have a neighbourhood watch?
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