ICRIS Insurance

Household Insurance

Please be advised that we can only offer quotations for insurance within mainland UK.

Full Name
Title
E-mail


It is important that the E-mail box is completed correctly - please check you enter the address correctly.

Enter the date cover would be required from:
Enter the Property Address:
Enter your postcode:
Enter your date of birth:
Occupation:
Industry/Employers business:
Do You smoke?
Enter the year your house was built:
Type of property:
How many bedrooms?
Amount building to be insured for?	£ Answer if applicable
What cover required for the building?
Amount contents to be insured for?	£ Answer if applicable
What cover required for the contents?
Most expensive single contents item in your home?	£
Details of any valuable or collection that exceeds 20% of the contents sum insured:
Do you require any items to be covered on an "All Risks" basis. These are normally items that are taken from the home i.e. jewellery, cameras etc.?

If you have answered "YES" to All Risks cover please give details of items to be covered, including total value of all unspecified articles with a value of less than £500. Items over £500 should be specified with value of each item:

Total value of all unspecified items with a value of less than £500 each	£
In this box list specified items over £500 with description and value . Bikes should also be listed here, with value.

Select any of the following options that apply to your home:	Key operated window locks. 5 lever mortise locks on external doors. NACOSS approved alarm. Fire extinguisher. Smoke detector. Neighbourhood watch scheme.
Is the property occupied only by you and your family?
Is your home used for any business purpose?	This must be restricted to clerical only
Type of Construction? If "other" give details in the MATERIAL FACTS box at end of form:
What percentage of the roof is flat?:
State occupancy details:
Is your house within 400 metres of a riverbank, quarry or cliff ?
Are any trees over 5 metres tall within 7 metres of your house?
Has there been any evidence of subsidence locally?	Yes No
Has theere been any evidence of flooding locally?	Yes No
Has the property been underpinned?	Yes No
Is the property in a good state of repair?	Yes No
Is the property a listed building?	Yes No
Is your house left unoccupied on a daily basis?
Is your house usually left unoccupied at night?
How many years have you had home insurance without making a claim?
Do you have a current home insurance policy?
State number of claims in last 5 years?	Please give full details of each claim below
Any claims made in the last 5 years should be disclosed, please supply dates, settlement amounts and cause of claim. Also, any MATERIAL FACTS we should be aware should be entered here.
Premium of your current policy:	£

Please remember the importance of disclosing all details that are likely to influence the insurers. We reserve the right to decline to quote on any risk without giving a reason. We should tell you that the insurers we use exchange information with other insurers through various databases to help check information provided and also to prevent fraudulent claims.

IS YOUR E MAIL ADDRESS CORRECT?

We will contact you within 48 hours of receipt of your enquiry. If you fail to receive the quotation within this time-scale, please contact Daniel Green on 01474 359756.

BACK TO TOP

Terms of Business | Property Management | Property Sales | Financial Services

John Rice Associates Limited trading as Icris Insurance Services Gravesend is authorised and regulated by the Financial Services Authority

Developed by Motorsports-Online