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Your details
2
Property details
Your Title
Title
Mr
Mrs
Ms
Dr
Your first name
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Your last name
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Landline
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Mobile
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Email
email
Policy Holder Name
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DETAILS OF PROPERTY TO BE COVERED
Address.
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Town.
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County.
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Post code.
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Construction start date
date_range
Estimated construction end date
date_range
Planning Application Ref.
Plans
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Does the project have either of the follow:-
Flat Roof
Basement
Piled Foundations
Multiple units
Within the development
Yes
No
Project Type A
Project type
New Build
Renovation/Conversion
Rebuild (combination)
Property type A
Property type
Apartment
Barn conversion
Bungalow
Commercial building
Detached bungalow
Detached house
Garage
Maisonette
Office building
Semi Detached bungalow
Semi Detached house
Terraced house
Terraced bungalow
Townhouse
Communal area
GIA M2 A
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No of units A
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Construction stage A
Stage of construction
Not Started
DPC Level
First Floor
First Fix & Plastering
Completion
Market Value A
Up to:-
500,000
600,000
700,000
800,000
900,000
1,000,000
1,100,000
1,200,000
1,300,000
1,400,000
1,500,000
1,600,000
1,700.000
1,800,000
1,900,000
2,000,000
Project Type B
Project type
New Build
Renovation/Conversion
Rebuild (combination)
Property type B
Property type
Apartment
Barn conversion
Bungalow
Commercial building
Detached bungalow
Detached house
Garage
Maisonette
Office building
Semi Detached bungalow
Semi Detached house
Terraced house
Terraced bungalow
Townhouse
Communal area
GIA M2 B
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No of units B
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Construction stage B
Stage of construction
Not Started
DPC Level
First Floor
First Fix & Plastering
Completion
Market Value B
Up to:-
500,000
600,000
700,000
800,000
900,000
1,000,000
1,100,000
1,200,000
1,300,000
1,400,000
1,500,000
1,600,000
1,700.000
1,800,000
1,900,000
2,000,000
Project Type C
Project type
New Build
Renovation/Conversion
Rebuild (combination)
Property type C
Property type
Apartment
Barn conversion
Bungalow
Commercial building
Detached bungalow
Detached house
Garage
Maisonette
Office building
Semi Detached bungalow
Semi Detached house
Terraced house
Terraced bungalow
Townhouse
Communal area
GIA M2 C
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No of units C
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Construction stage C
Stage of construction
Not Started
DPC Level
First Floor
First Fix & Plastering
Completion
Market Value C
Up to:-
500,000
600,000
700,000
800,000
900,000
1,000,000
1,100,000
1,200,000
1,300,000
1,400,000
1,500,000
1,600,000
1,700.000
1,800,000
1,900,000
2,000,000
Project Type D
Project type
New Build
Renovation/Conversion
Rebuild (combination)
Property type D
Property type
Apartment
Barn conversion
Bungalow
Commercial building
Detached bungalow
Detached house
Garage
Maisonette
Office building
Semi Detached bungalow
Semi Detached house
Terraced house
Terraced bungalow
Townhouse
GIA M2 D
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No of units D
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Construction stage D
Stage of construction
Not Started
DPC Level
First Floor
First Fix & Plastering
Completion
Market Value D
Up to:-
500,000
600,000
700,000
800,000
900,000
1,000,000
1,100,000
1,200,000
1,300,000
1,400,000
1,500,000
1,600,000
1,700.000
1,800,000
1,900,000
2,000,000
Project Type E
Project type
New Build
Renovation/Conversion
Rebuild (combination)
Property type E
Property type
Apartment
Barn conversion
Bungalow
Commercial building
Detached bungalow
Detached house
Garage
Maisonette
Office building
Semi Detached bungalow
Semi Detached house
Terraced house
Terraced bungalow
Townhouse
Communal area
GIA M2 E
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No of units E
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Construction stage E
Stage of construction
Not Started
DPC Level
First Floor
First Fix & Plastering
Completion
Market Value E
Up to:-
500,000
600,000
700,000
800,000
900,000
1,000,000
1,100,000
1,200,000
1,300,000
1,400,000
1,500,000
1,600,000
1,700.000
1,800,000
1,900,000
2,000,000
Project Type F
Project type
New Build
Renovation/Conversion
Rebuild (combination)
Property type F
Property type
Apartment
Barn conversion
Bungalow
Commercial building
Detached bungalow
Detached house
Garage
Maisonette
Office building
Semi Detached bungalow
Semi Detached house
Terraced house
Terraced bungalow
Townhouse
Communal area
GIA M2 F
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No of units F
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Construction stage F
Stage of construction
Not Started
DPC Level
First Floor
First Fix & Plastering
Completion
Market Value F
Up to:-
500,000
600,000
700,000
800,000
900,000
1,000,000
1,100,000
1,200,000
1,300,000
1,400,000
1,500,000
1,600,000
1,700.000
1,800,000
1,900,000
2,000,000
Total rebuild cost
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Period of cover required
6 Year
10 Year
Building Control Company
Building COntrol Certificate
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Who is your mortgage provider (if applicable)
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How did you hear about us
Existing Customer
Local Authority
Through a Representative
Google Search
Bing/Yahoo Search
Word of Mouth
Submit Application
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