Residential Quote

About you

Please answer all questions accurately, as incorrect information may invalidate your insurance should you take out a policy.

Full Name*

House Number

Flat Number

Street

Town/City

Postcode

Telephone

Email*

How did you hear about TPCM?

*required

Are the premises built of Brick, Stone, or concrete and roofed with slate, tile, concrete, metal, asbestos or with no more than 20% felt & stone chippings & in a good state of repair?

If No, give full details of construction:

Full occupancy of property

Is the property well maintained & in a good state of repair?

Is the property in an area free of flood?

Is the property in an area free of subsidence?

(If the answer to one or more of the above 3 questions is No underwriters reserve the right to underwrite the property separately.)

Age of Building

Your cover

Insurance Commencement Date

Sum Insured Required

Occupants/Claims

Is the property occupied by tenants referred by DSS or occupied by Students

Have there been any claims made in respect of the cover requested within the last five years

If yes, please give details of loss and amount paid by insurers:

Please note any interest to be noted in respect of Buildings Insurance:

Commercial and Residential Building Insurance

"Let us protect your investment"

About you

Your property details

Your cover

Occupants/Claims