Home insurance proposal form

For homes that don't fit a comparison site — high value, listed, non-standard construction, or with valuables and collections that need proper attention.

Fields marked * are required. Anything you're unsure about, leave blank and we'll pick it up with you.

About you

Your name

Date of birth

Occupation

Contact number

Email address

Number of adults in the household

Number of children in the household

The property

Property address

Property type

Year built

Number of bedrooms

Wall construction

Roof construction

Is the property listed?

Any flat roof? Approx %

Is the property ever left unoccupied for more than 30 days?

Cover required

Buildings sum insured

Rebuild cost, not market value

Contents sum insured

Total jewellery & watches

Highest value single item

Fine art, antiques or collections

Personal possessions cover away from home?

Bicycles

Home office equipment

Security & risk

Alarm fitted?

Is the alarm monitored?

Door locks

Safe on premises?

Any history of flood?

Any history of subsidence?

Any trees within 10m of the property?

Building works

If you're planning or carrying out work on the property, most standard policies restrict cover — tell us and we'll arrange it properly.

Are any building works planned or under way?

Value of the works

Details of the works

Claims & current policy

Any claims in the last 5 years?

Claims details

Any unspent criminal convictions?

Any insurance previously declined or cancelled?

Current insurer

Renewal date

Expiring premium

Is there anything else we should know?

Your details go straight to our team. We'll never share them with anyone other than the insurers we approach on your behalf — see our privacy policy.