Let Residential Plus
Risk Submission
This submission is suited for risks of 3 or less properties. Please complete the following and click the
submit
button. However, if you have a separate presentation please click
HERE
to email.
Should you require any assistance please contact Karen Cyster on 020 8256 1935.
Fields marked with
*
are mandatory.
Name of Brokerage
*
Broker Contact Name
*
Broker Contact Number
*
Broker Contact E-Mail
*
Quotation Required By
*
-
Day
-
Month
Year
Date
Insured Details
Insured
*
Status
*
Please Select
Sole Trader
Partnership
Private Limited Company
Public Limited Company
Year Business Established
*
Correspondence Address
*
Inception Date
-
Day
-
Month
Year
Date
Target Premium
Policy Wide Covers
Property Owners Liability?
*
£5,000,000
£10,000,000
Employers Liability?
*
Yes
No
Clerical / Admin Wages
Porters Wages
Gardeners Wages
Maintenance Wages
Malicious Damage by Tenant?
*
Yes
No
Terrorism?
*
Yes
No
Management Liability?
*
Yes
No
Managment Liability Limit of Indemnity Required?
Please Select
£100,000
£250,000
£500,000
£1,000,000
£2,000,000
£3,000,000
£5,000,000
Legal Expenses and Rent Guarantee Cover Options?
*
Please Select
Legal Expenses Cover Only
Legal & Rent Guarantee Cover
Not Required
Any claims in the past 3 years including properties that have been sold?
*
Yes
No
Please provide further details
Please provide any additional information necessary to make a fair presentation of the risk.
Back
Click here to add your first location
Property 1 Details
Address
*
Postcode
*
Year of Construction
*
Property Type
*
Please Select
Private Dwelling House
Flats (Concrete Floored)
Flats (Timber Floored)
Flats (Converted)
Other
Number of Residential Units
Occupancy Type
*
Please Select
Short / Long Term Tenancy Agreement
Local Authority / Assisted (Tenant has direct tenancy agreement with Insured)
Student Let
Council Support (Tenant has no direct tenancy agreement with Insured)
Asylum Seeker
Unoccupied (In between tenants)
Undergoing Refurbishment
Holiday Let
Other
Wall Construction
*
Please Select
Brick
Stone
Other
Roof Construction
*
Please Select
Slate
Tile
Other
Floor Construction
*
Please Select
Concrete
Timber
Other
Flat Roof %
Does the construction of the property include: modular / pod units, pre-fabricated panels, structural insulated panels or wall cladding systems?
*
Yes
No
Please provide further details
Has the property or adjacent properties ever suffered from, or show any visible signs of damage from subsidence, landslip or ground heave?
*
Yes
No
Please provide further details
Sums Insured
Buildings Declared Value
*
Landlords contents
Loss of Rent / Alternative Accommodation
25% of the Building Sum Insured with a 24 month indemnity period is included as standard. If a higher Sum Insured is required, please advise below in
either
£'s
or
%
Revised Sum Insured (£)
Revised (%)
36 Month Indemnity Period
Please Select
Yes
No
Do you wish to add another property?
*
Please Select
Yes please
No, I am ready to submit
Please provide any additional information necessary to make a fair presentation of the risk.
Thank you for completing the risk information.
Please click the
Submit
button in the bottom left hand corner and one of our dedicated underwriters will be in contact.
Submit
Back
Next
Property 2 Details
Address
*
Postcode
*
Year of Construction
*
Property Type
*
Please Select
Private Dwelling House
Flats (Concrete Floored)
Flats (Timber Floored)
Flats (Converted)
Other
Number of Residential Units
Occupancy Type
*
Please Select
Short / Long Term Tenancy Agreement
Local Authority / Assisted (Tenant has direct tenancy agreement with Insured)
Student Let
Council Support (Tenant has no direct tenancy agreement with Insured)
Asylum Seeker
Unoccupied (In between tenants)
Undergoing Refurbishment
Holiday Let
Other
Wall Construction
*
Please Select
Brick
Stone
Other
Roof Construction
*
Please Select
Slate
Tile
Other
Floor Construction
*
Please Select
Concrete
Timber
Other
Flat Roof %
Does the construction of the property include: modular / pod units, pre-fabricated panels, structural insulated panels or wall cladding systems?
*
Yes
No
Please provide further details
Has the property or adjacent properties ever suffered from, or show any visible signs of damage from subsidence, landslip or ground heave?
*
Yes
No
Please provide further details
Sums Insured
Buildings Declared Value
*
Landlords contents
Loss of Rent / Alternative Accommodation
25% of the Building Sum Insured with a 24 month indemnity period is included as standard. If a higher Sum Insured is required, please advise below in
either
£'s
or
%
Revised Sum Insured (£)
Revised (%)
36 Month Indemnity Period
Please Select
Yes
No
If required, please provide any additional information for this property
Do you wish to add another property?
*
Please Select
Yes please
No, I am ready to submit
Please provide any additional information necessary to make a fair presentation of the risk.
Thank you for completing the risk information.
Please click the
"Submit"
button in the bottom left hand corner and one of our dedicated underwriters will be in contact.
Submit Button
Back
Next
Property 3 Details
Address
*
Postcode
*
Year of Construction
*
Property Type
*
Please Select
Private Dwelling House
Flats (Concrete Floored)
Flats (Timber Floored)
Flats (Converted)
Other
Number of Residential Units
Occupancy Type
*
Please Select
Short / Long Term Tenancy Agreement
Local Authority / Assisted (Tenant has direct tenancy agreement with Insured)
Student Let
Council Support (Tenant has no direct tenancy agreement with Insured)
Asylum Seeker
Unoccupied (In between tenants)
Undergoing Refurbishment
Holiday Let
Other
Wall Construction
*
Please Select
Brick
Stone
Other
Roof Construction
*
Please Select
Slate
Tile
Other
Floor Construction
*
Please Select
Concrete
Timber
Other
Flat Roof %
Does the construction of the property include: modular / pod units, pre-fabricated panels, structural insulated panels or wall cladding systems?
*
Yes
No
Please provide further details
Has the property or adjacent properties ever suffered from, or show any visible signs of damage from subsidence, landslip or ground heave?
*
Yes
No
Please provide further details
Sums Insured
Buildings Declared Value
*
Landlords contents
Loss of Rent / Alternative Accommodation
25% of the Building Sum Insured with a 24 month indemnity period is included as standard. If a higher Sum Insured is required, please advise below in
either
£'s
or
%
Revised Sum Insured (£)
Revised (%)
36 Month Indemnity Period
Please Select
Yes
No
If required, please provide any additional information for this property
Please provide any additional information necessary to make a fair presentation of the risk.
Thank you for completing the risk information.
Please click the
Submit
button in the bottom left hand corner and one of our dedicated underwriters will be in contact.
Submit
Back
Next
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