Searching For A Better Quotation
House Insurance Quote
Email Address
Title
Mr
Mrs
Miss
Ms
Dr
Name:
Address
Post Code
Home Phone number
Work Phone Number
Fax Number
Marital Status
Select
Married
Common Law
Partnered
Single
Divorced
Widowed
Date Of Birth
Nature of employers Business
Occupation
First Time Buyer
Select
No
Yes
Smoker
Select
No
Yes
Claim Histrory in last 5 Years:-
Date
Amount of claim
Type of claim
1
2
3
4
Buildings Insurance
Building Value
Number of bedrooms in the property
Year Property Was Built
eg. 1995
Total number of residents
Number of residents under 18 years old
Resident in this property from
Property Type
Select
Terraced
Quasi-Semi
Semi Detached House
Detached House
Semi Detached Bungalow
Detached Bungalow
Ground Floor Flat
First Floor Flat
Other Floor Flat
Cover
Select
Reinstatement
Reinstatement+Accidental Damage
Total Excess
Select
None
£50
£100
£150
£200
£250
Years No Claims
0
1
2
3
4
5+
Contents Insurance
Total Contents Including Items worn or carried
Valuables Watches, Gold, Cameras, Antiques, Works of art
Most expensive item:-(Item & Value)
Cover
New for Old
New for Old + accidental damage
Excess
None
£50
£100
£150
£200
£250
Number of years no claims
Select
0
1
2
3
4
5+
Security
Do you have 5 lever deadlocks on all exit doors and key operated window locks on accessible windows:-
Select
No
Yes
Do you have a burglar alarm fitted by a Nacoss approved installer with an annual maintenance contract:-
Select
No
Yes
Do you live in an active police approved neighbourhood watch scheme:-
Select
No
Yes
Do you have smoke alarms fitted
Select
No
Yes
Cover
Do you require cover for items taken away from home
Select
No
Yes
If so how much cover do you need at any one time for items valued less than £1000
Ownership Type
Select
Owned on mortgage by proposer:-Occupied By family
Owned on mortgage by proposer:-let furnished
Owned on mortgage by proposer:-let unfurnished
Owned Outright by proposer:-Occupied by family
Owned Outright by proposer:-let furnished
Owned Outright by proposer:-let unfurnished
Rented from local authority:-furnished
Rented from local authority:-unfurnished
Rented from private landlord:-furnished
Rented from private landlord:-unfurnished
Any business use
Select
No
Yes
Property is constructed of
Select
Brick
Stone
Concrete
Other
Roof is constructed of
Select
Slate
Tile
Other
Flat roof percentage
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Is the property a listed building
Select
No
Yes
Is the property:-
Free from subsidence.
Free from flooding.
Free from underpinning.
Free from trees over 5 metres high within 7 metres of the property .
Select
Yes
No . Please enter details
Details if no
Is the property near a river bank
Select
No
Yes
Is the property in good state of repair
Select
Yes
No, enter details in box to the right
Details if no
Is the property unoccupied daily
Select
No
Yes
Is the property unoccupied at night
Select
No
Yes
Maximum number of days left unoccupied at any one time
0
14
30
45
60
90
Any material facts
Enter your best quote so far (optional)
From which Insurer (optional)
Renewal / Start date of policy
Please reply by:
Select
E-mail
Phone
Fax
Post
Home
About Us
Contact Us
Call Back Request
Services
Car Insurance
House Insurance
Holiday Insurance
Business Insurance
Van Insurance
Registered Office
84 Church Street
Littleborough
Lancashire
OL15 8AU
Tel: 01706 378990
Fax: 01706 371417
Registered in England Number 939318
Authorised and regulated by
the Financial Services Authority
Terms & Conditions
© 2008 West Pennine Insurance Consultants LTD
Site Map
Links
House Insurance Quote 
Site Map Links 