Request a Quote

If you are an existing policyholder click here.

Household quotation details required:

Title
Full Name:
Full Postal Address:
Full Address of property to be insured:
Is this your permanent residence? Yes No
If no please state details:
 
Telephone Numbers:
Daytime:
Evening:
Your e-mail address:
Your Date of Birth:
What is your occupation: (including part time occupations)
Please select which type of cover you need:
What is your buildings value?
What is your contents value?
Do you want accidental damage cover? Yes No
Do you require cover for your personal belongings and valuables outside your home?
Yes No
If yes please state the sum insured and include details of any individual items worth more than €1,270 (£1,000)
Do you need cover for pedal cycles? (please tell us how many and the total value)
Do you have any of the following:
Approved alarm to IS 199 standards
Do you have any mortice locks on your outside doors
Do you have smoke detectors fitted?
Are you in a neighbourhood watch area?
Previous claims/losses during the last 5 years:
Date of claim:
Full description of claim/loss:
What is the amount of the payments made to date:
Is the claim settled?
Yes No
If there are any other details you feel are relevant, please fill in the following section:

Your home is a Private Residence of standard construction and you have been free of convictions for the last 5 years.

Thank you for taking the time to complete this form, we will reply to you by e-mail with a quotation.

Please tick here if you wish us to post a quotation out to you.

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