Holiday Home / Holiday Let Insurance

Please complete the form below for a quotation.

Personal Details  
Title:
Firstname:
Surname:
Telephone number:
Email address:
   
Correspondence Address  
Address:
 
Town:
County:
Postcode:
   
Risk Address  
Address:
 
Town:
County/District:
Postcode:
Country:

if other

*we can not guarantee cover for other countries

   
Date cover required: (dd/mm/yy)
   
Property Details  
Year of construction:
Is it listed? (if over 100 years old) Yes No
Type of property: (e.g. Villa)
Number of bedrooms:
Wall construction: (e.g. Brick / Stone)
Roof construction: (e.g. Tile / Slate)
   
Is there a swimming pool?
   
Rebuild sum insured:
Contents sum insured:

Occupancy type:


- Main Residence option unavailable for Eire

Details of ALL claims in the last 5 years
on ANY property:

- Dates of claims
- Amount claimed for
- Was the claim made at the risk address?

Is there any history of subsidence / flooding? Yes No

Additional comments: