About You.

    Your Name

    Your Address

    Contact Details

    Renewal Date

    Property Information

    Type of property

    Trade of tenant

    Is there a residential part to the building?

    Type of residential tenant?

    Cover Required.

    Building (£)

    This should be a rebuild value

    Landlords Contents (£)

    This should the landlords contents

    Previous Claims?

    Claims in past 5 years?

    Please give details

    When did this occur?

    What were the costs of claim