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 HOME COVER - QUOTE ME

 

 
I confirm that I have read the FloriGuard website privacy statement (tick box)
I confirm that I have read the FloriGuard Capacity and Services information (tick box)
I agree to receiving marketing information from Bridge Insurance Brokers Ltd or from selected business partners
Policyholder name
2nd Policyholder name (if joint)
Date of birth
2nd Date of birth (if joint)
Marital status
Occupation
2nd Occupation (if joint)
1st line of address to be insured
Postcode
Are you a member of the British Florist Association?
Contact Telephone Number
Email Address
What is the property ownership?
Type of Property
Year built
Number of bedrooms

Is the property of standard construction?

 

 (i.e Brick/Stone walls with Tile/Slate pitched roof)
Buildings sum insured (if required) £
General Contents sum insured (if required) £
Specified Items within the home / valuables (if required) Value £ Description
Specified Items within the home / valuables (if required) Value £ Description
Specified Items within the home / valuables (if required) Value £ Description
Unspecified items outside of the home / personal possessions (if requried) Value £
Specified items outside of the home (if required) Value £ Description
Specified items outside of the home (if required) Value £ Description
Do you comply with points A-C of the minimum standards of security as shown above here?
Do you have any of the following:




Have there been any incidents in the last three years which have or could result in a claim?
If yes, please provide details:  
Date: _ (dd/mm/yyyy)
Value: £
Describe circumstances:
Date: _ (dd/mm/yyyy)
Value: £
Describe circumstances:
How many years have you been continually insured at this property? Years
Who is your current insurer?
When is cover required? _ (dd/mm/yyyy)
What are you currenly paying? £
Any further information:

IMPORTANT: In order for us to process your quotation please confirm that you understand the insurer minimum standards of security.

We also make certain assumptions to provide you with a fast quotation. By ticking the box you confirm that you have read and agree with the statements click here to view

NOTE: If information provided is incorrect or incomplete Insurers may not pay your claim. Details you provide may be checked by Insurers against data held elsewhere.

Please contact us on 0845 313 9871 if you cannot proceed any further.
 

 

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