Homeminder insurance quote

Title

Full name

Address

Postcode

Date of Birth (dd/mm/yyyy)

Marital Status

Occupation

Contact telephone number

Email

NCMA membership number

Current insurer

Renewal date

Number of occupants

Type of property

Is property self contained
(i.e. does it have its own lockable front and back door)

Roof construction
eg Tile/Slate

Is any part of the roof flat?

Wall construction
eg Brick/Stone

Year built*

No of bedrooms

Property ownership type
eg mortgage, rented, owned outright

Does the property have 5 lever mortice deadlock on the doors and key operated window locks?

Does the property have an alarm?

Neighbourhood watch?

Smoke Detectors?

Is the property unoccupied during the day?

Building accidental damage cover required

Contents accidental damage cover required

Have you made any previous claims

Has your property ever been flooded in the past?

Has the property ever suffered from ground heave, landslip or subsidence?

Is property located within 400 metres of a river or cliff?

Has the property ever been underpinned?

Are there any trees within 30 metres of the property more than six feet tall?

Is property occupied solely by you and your family?

Have you, or anyone residing with you, ever been declared bankrupt?

Have you, or anyone residing with you, ever been convicted of a criminal offence?

Have you ever been refused, cancelled or declined insurance?

Additional notes