Commercial Express: Buy To Let
Buy to let questions
Eunisure Adviser Name
*
Name of Owner (Client name)
*
First Name
Last Name
Business Proprietor/Director Name
*
Date of Birth
*
/
Month
/
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Best Contact Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Correspondence Address
Street Address
Street Address Line 2
City
County
Postcode
Address to be insured
Street Address
Street Address Line 2
City
County
Postcode
What year did you purchase the property? (YYYY) NCD to apply
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The building to be insured
Sum to be Insured
£
a) Was built:
b) is in a good state of repair?
Yes
No
c) is built of brick, stone, metal or concrete and roof made with slate, tiles, metal, concrete or flat roofed with asphalt, bitumen or concrete?
Yes
No
d) has a flat roof? If Yes what % of building?
Yes
No
e) has a listed building status?
Yes
No
f) has an open fire/s that is/are currently in use or will be during the policy period?
Yes
No
Do you comply with the above Gas Safety Requirements?
Yes
No
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Premises
a) Have the premises been flooded in the last ten years?
Yes
No
b) Are the premises within 400 metres of any watercourse, river or the sea?
Yes
No
c) Have you been informed that the premises are in a potential flood risk area?
Yes
No
d) Has the property ever suffered from subsidence, landslip or heave or in an area troubled by subsidence, landslip or heave?
Yes
No
Definition of standard renovation:
Internal painting and decorating, tiling, replacement of bathroom and/or kitchen fixtures and fittings including sinks, wash basin, W.C., bathroom and shower,carpeting, internal joinery, plastering, central heating installation and external window replacement.
Is there any structural work to take place outside the definition of standard renovation (above)?
Yes
No
Details of the property's configuration and occupant(s)
Is the whole property to be insured?
Yes
No
Is any section of the property, owner occupied and/or sold on a long lease?
Yes
No
Is the property occupied for any business purposes?
Yes
No
Is the property let with more than one tenancy agreement?
Yes
No
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To which of the following type of tenant(s) is the property let?
People in full time employment (or retired) and not claiming housing benefits
Yes
No
Students
Yes
No
DSS Non-Referrals
Yes
No
DSS Referrals
Yes
No
Asylum Seekers
Yes
No
Holiday Home
Yes
No
2nd Home
Yes
No
Unoccupied
Yes
No
Third party interest
Does the insured need to note the interest of an interested party?
Yes
No
Details if Yes
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Buildings insurance
Buildings Sum Assured £
£
Accidental Damage extension (not available for DSS Referrals, Asylum Seekers or Unoccupied)
Yes
No
Loss of rent sum Insured and costs for alternative accommodation
Loss of rent is automatically included at 20% of the Buildings Sum insured.
If more than 20% is required please enter the EXCESS amount:
£
Loss of Rent Indemnity Period:
if cover from date is on or after 17/08/2015 we will not pay for more than£25,000 in respect of Alternative accommodation
Contents insurance
Landlord's contents Sum Insured:
Up to £5,000 landlord's contents cover can be included free of charge, please enter the sum insured if required. No Cover in force unless requested. Not available for unoccupied premises.
Accidental Damage extension (not available for DSS referrals, Asylum seekers or Unoccupied)
Legal liability
Property Owners Liability Choice of 2M / 5M
2 M
5 M
Is cover required for accidents to domestic staff (LOI £2,000,000)
Yes
No
Is cover required for Terrorism?
Yes
No
Excesses (unless excluded or amended in the special conditions)
All claims other than Escape of Water, Subsidence, landslip and heave and Property Owners Liability £
£
Escape of Water £
£
Subsidence, landslip and heave £
£
Property Owner's Liability £
£
Optional covers:
The CX Let policy can now be extended further by the purchase of Residential Emergency Assistance and Landlord's Legal Expenses Insurance
Required
Yes
No
Yes / No
Required
Yes
No
Yes / No
Submit
Should be Empty: