• Proposal Form

    Park Home Insurance

    For Property used as Main Home of the Insured in the UK 

  • It is important that all questions in this proposal are answered accurately. Please provide separately any other information you think might be material to our understanding of your requirements.

    Your completing this form in detail will enable us to match your insurance to your needs.

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  • Proposer Details

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  • Bordengate Insurance and BGi.UK are trading styles of H J Roelofs (UK) Ltd which is authorised and regulated by the Financial Conduct Authority (FCA). Our Financial Services register number is 307129. Company Registration no. 3464365

    Terms & conditions on www.bgi.uk.com and available on request.

  • Home Details

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  • If your Home is over 15 years old special conditions may be applied to your Policy.

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  • Bordengate Insurance and BGi.UK are trading styles of H J Roelofs (UK) Ltd which is authorised and regulated by the Financial Conduct Authority (FCA). Our Financial Services register number is 307129. Company Registration no. 3464365

    Terms & conditions on www.bgi.uk.com and available on request.

  • Park Details

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  • Bordengate Insurance and BGi.UK are trading styles of H J Roelofs (UK) Ltd which is authorised and regulated by the Financial Conduct Authority (FCA). Our Financial Services register number is 307129. Company Registration no. 3464365

    Terms & conditions on www.bgi.uk.com and available on request.

  • Insurance Cover Required

  • Buildings & Contents

  • Additional Cover

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  • If  Yes to either option in question above please specify the additional cover you would like below:

  • Unspecified Cover

  • Specified Cover

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  • Bordengate Insurance and BGi.UK are trading styles of H J Roelofs (UK) Ltd which is authorised and regulated by the Financial Conduct Authority (FCA). Our Financial Services register number is 307129. Company Registration no. 3464365

    Terms & conditions on www.bgi.uk.com and available on request.

  • Declarations

  • Important: No list of questions can be exhaustive and we must ask you to consider carefully whether there is any information not given herein which could influence our acceptance of this proposal. Material information includes any special, unusual or otherwise relevant features of the property, its occupation or its location which might make losses more likely to happen or to be more serious or costly than might otherwise be anticipated. You should disclose any information which might be relevant. Failure to do so could invalidate your policy.

    Declaration: I declare that to the best of my knowledge and belief that the answers herein are true and that all material information has been fully disclosed. I agree that this proposal is for insurance in the normal terms and conditions of the insurer's policy and shall be incorporated into and form part of the insurance contract.  I undertake to inform insurers, in writing (email included) and immediately, of all changes before and during the policy period.

    Notice: The information provided on this proposal form will be made available to any other insurer, broker or authority who might make an enquiry regarding the veracity of statements made regarding the information provided in any proposal form, claim form or other document or any statement made orally or electronically.

  •  -  - Pick a Date
  • One of our Insurance team members will contact you on receipt of your form.

  • To complete your application, email info@BGi.uk.com with the following and enclose the ID number you will receive on submission of the form:

    1. A photo of the exterior of your home
    2. A photo of the interior of your home
    3. Any additional material information

    Alternatively you may wish to post the documents to:

    BGi.uk
    Portwell House
    26 Market Place Faringdon
    Oxon
    SN7 7HU

    Please ensure you quote the ID number you will receive on submission of your form with any and all further correspondence.



  • Bordengate Insurance and BGi.UK are trading styles of H J Roelofs (UK) Ltd which is authorised and regulated by the Financial Conduct Authority (FCA). Oour Financial Services register number is 307129. Company Registration no. 3464365

    Terms & conditions on www.bgi.uk.com and available on request.

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