Home Insurance Quotation Form

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Quotation Form
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Home
About Us
Insurances
Quotation Form
Contact Us

Home
Home Insurance Quotation Form

Home Insurance Quotation Form

Online Phone

How did you find out about us?

If a friend, family member, or referrer, please provide their name and contact number.

Name:

Number:

No Recommendation

This information is used exclusively for our marketing purposes.

“All your personal information is protected under the Data Protection Act 1998 and registered with the ICO.”

Personal Info

Title

First Name

Surname

DOB

First Line of Address

If Employed/Self Employed, What is your occupation:

If employed or self-employed, what is your business?

Your Details

Contact Details:

Mobile / Telephone Number:

Email Address

Business/Trade Address:

House Number:

House 1st line of Address:

postcode:

Company Details

Current/Previous Insurer

Company Status

Business, Company or Partnership Name

Business Description?

If other, please specify the type of business:

When was your business established? (DD/MM/YYYY)

Total number of employees including partners, principals and directors

What is your Estimated Annual Turnover?

What is your Estimated Annual Wages?

Premises

Where is your premises located?

What are the opening hours for your business? (Please specify in the box)

Any CCTV camera inside this premises

Yes No

Is this premises entitled as a listed building

Yes No

The roof of this premises, is it flat or slope

The floor, is it made of concrete or wood

The walls, are they made of bricks or wood

Does anyone live upstairs and if yes who are they

The back door, is it secured enough, any shutters or grilled

When is the premises occupied?

Does the property have a roller shutter which covers all ground floor exposed glazing?

Yes No

Does the property have grilles fitted which cover all ground floor exposed glazing?

Yes No

Do you have any sort of alarm in the premises?

Yes No

If yes, Type or name/brand of the alarm?(Please specify in the box)

Does the alarm notify you along with police or only you? (Please specify in the box)

Is the alarm being checked regularly by any organization?

Yes No

Do you have use of kitchen in the premises for commercial use?

Yes No

If you are running a: Café, Take Away and Restaurant:

Yes No

Cover Details

Is the Premises’ Owned / Leased / Rented by you?

Do you require buildings cover?

Yes No

What’s the maximum cash amount to be covered during the business hours?

Do you want any cash sum to be covered outside the premises?

Yes No

Stocks to be insured:

Cigarettes, Cigars and tabacco sum insured amount

Wines, Fortified Wines and Spirits sum insured amount

Frozen items to be insured

Other Stock (other than target stock shown above) to be insured

Contents (Fixtures & Furniture’s) sum insured amount

Claim Summary

In the past 5 years, have you had any losses or incidents that could have resulted in claims (whether insured or not) related to your current or previous business?

Yes No

Employer Reference Number Details

Are you exempt from paying PAYE?

Yes No

Please provide your employer reference number.

Policy Start Date

When would you like your policy to begin?

If other, please specify the business type:

in accordance with our Terms and Conditions & Privacy Policy/h6>

By clicking submit, you give your explicit consent for us to use the data provided in accordance with the Data Protection Act 1998. This data will be used to offer the best possible quote and may be shared with both offline and online markets.

Office Address:

Balfour Business Centre
390-392 High Road
Ilford
IG1 1BF

Opening Hours:
Mon-Sat from 10:00 AM to 18:00 PM

INSURANCE PRODUCTS

Car Insurance
Bike Insurance
Hot Food Insurance
Van Insurance
Business Insurance
Home Insurance
Accident Management

FILL OUR INSURANCE FORMS

Car Insurance Quotation Form
Bike Insurance Quotation Form
Hot Food Insurance Quotation Form
Van Insurance Quotation Form
Business Insurance Quotation Form
Home Insurance Quotation Form
Accident Management Form

COMPARE INSUREX

COMPARE INSUREX LIMITED IS AN ONLINE BASED COMPANY AND DOES NOT ENGAGE IN ANY REGULATORY ACTIVITIES. HOWEVER WE ARE REGISTERED WITH THE INFORMATION COMMMISSIONER’S OFFICE AS WELL AS GDPR COMPLIANT, AUTHORISED TO PROCESS PERSONAL DATA UNDER THE DATA PROTECTION ACT & GDPR 2018.

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03330150505

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