Request a Quote

1 POLICY HOLDER DETAILS

2 PROPERTY DETAILS

3 COVER REQUIRED

4 SEND REQUEST

If you are able to call us on 01795 844939 we would be happy to talk through the quote form with you. It is so important to ensure you provide the correct information to obtain an accurate quote and we are more than happy to help with this. If this is not possible, please fill in the form below and we will contact you as soon as possible with a quote or to confirm any further details we may need.
POLICY HOLDER DETAILS
Policy Holder Name:*
First Name Last Name
Company Name:
Date of Birth:*
Date Format: DD slash MM slash YYYY
Email Address*
Occupation:
Employer:
Current Insurer:
Current Premium:
Phone Number:*
Renewal Date:*
Date Format: DD slash MM slash YYYY
How did you hear about us?*
Please opt-in below to receive relevant information from The Listed Property Owners’ Club via email, phone and post. Your data will not be passed on. You can unsubscribe at any time by calling 01795 844939 or using the unsubscribe links in the e-newsletter. More information can be found in our Privacy Policy.
I am happy to be contacted with relevant information from LPOC via (please tick)
- Email
- Post
- Phone
Remember, to receive the free LPOC newsletter The Listed Property Insider, which includes helpful information on the issues facing listed property owners, please opt-in to receive emails.
Is it a Joint Policy?*
- Yes
- No
Joint Policy Holder Name:*
First Name Last Name
Date of Birth:*
Date Format: DD slash MM slash YYYY
Email Address*
Occupation:
Employer:
Phone Number:*

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PROPERTY DETAILS
Address (Incl. Postcode):*
Address City Postcode
Type of property
Dwelling Type*
Type of property*
Use of Property
Construction (Incl. Roof):
Age of Property
Listed Grade*
No. of Bedrooms
Trees or shrubs within 20ft/7m of any building, which are more than 10ft/3m tall (Please provide species, height and distance):
Has the property ever suffered from flooding, or is it in an area which has been subject to flooding? If so, please provide details:
Are there any watercourses or sea within 250m of the property (if so please provide details):
Has the property suffered from, or is it showing any signs of, subsidence, heave or landslip, other than historic settlement? If so, what happened and when?:
Has the property ever been underpinned?
Are there any bridges on your property or land? If so provide location, age, value and whether over water:
Are the buildings or grounds open to the public? If so please provide details:
Are all buildings (including outbuildings) in good condition? If no, provide details:
What is the method of heating (oil, wood burners, open fires, central heating)?
Are there any on-going or planned (within next 12 months) refurbishment/works at the property?
If so: - What is being done? - What is the expected timeframe? - What is the budget of the works?
Is any part of the property Thatched?*
THACHED PROPERTY DETAILS
Do you use any open fires at the property?
Do you use a wood burning or solid fuel stove?
If the property is semi-detached or terraced, is it attached to another thatched property, or tiled property?
Have the electrics been inspected within the last 10 years? Please provide a copy of the certificate, if available.
Has the thatch been inspected within the last 10 years? Please provide a copy of the written confirmation from the Thatcher, if available.
If you have wood burning stoves, has the chimney been inspected in the last 3 years by a HETAS registered company? Please provide a copy of the certificate, if available.
Has the chimney been swept in the last 12 months?
Is there any halogen lighting (excluding down lighters) used in the loft or attic space?
Is there a smoke detector fitted in the roof void or highest point?
What is the approximate height of the chimney above the ridge?
HOW IS THE PROPERTY OCCUPIED?
How is the property occupied?
(Owner occupied as main residence, unoccupied, personal holiday home, holiday let, let to DSS, let to students, let to professionals?)
Is there any business use at the property, including outbuildings? If so, provide details:
Do you have any domestic staff? Do they live in and are they full time or part-time?
SECURITY & FIRE PROTECTION INFORMATION
What security is in place on all exterior doors?
Provide details of what is in place on each door (5 lever mortice deadlocks, Yale locks, etc.)
What security is in place on all ground floor and accessible windows?
(Key operated locks, latches, etc.)
Is there an alarm in place? If so, is it: - Audible only, Central Station or Redcare? - Annually maintained?
Is there any other security in place? (CCTV, Daytime occupancy, electric gates etc.):
Is there a safe at the property? If so: - What type? (Wall, free standing, etc.) - Make & Model? - Cash rating of safe?
What fire protection is in place? (Battery detectors, mains wired, central station fire alarm, fire blankets, fire extinguishers, etc.?

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COVER REQUIRED
Buildings Rebuild (Including Outbuildings unless of notable size):
In order to ensure that you have the correct cover, you need to specify an accurate rebuild sum for your property. This is different to the property’s market value and must reflect the full rebuild cost to reinstate the property as it was using appropriate materials and methods as instructed by your conservation officer. If you are unsure of the rebuild cost for your property, please speak to one of the team on 01795 844939 for assistance in arranging for a professionally qualified surveyor to advise on a suitable figure.
General Contents:
This figure should represent the total value of the possessions in your home, excluding valuables, which are specified separately. The cover needs to be sufficient to replace all of the items in your home at their full replacement cost (apart from clothing and linen which is subject to deduction for wear and tear)
THE SUMS INSURED BELOW ARE IN ADDITION TO THE GENERAL CONTENTS (ABOVE):
Pictures/Paintings:
SUM INSURED
Antiques:
SUM INSURED
Piano:
SUM INSURED
Precious metals/gold and silver plated items (ex. jewellery/watches):
SUM INSURED
Sculptures:
SUM INSURED
Clocks:
SUM INSURED
Stamps and other collectibles:
SUM INSURED
Wines:
SUM INSURED
Furs:
SUM INSURED
Guns:
SUM INSURED
Fragile items (porcelain, china, etc.):
SUM INSURED
Others (Please specify):
SUM INSURED
Jewellery (Specified):
SUM INSURED
Jewellery (Unspecified):
SUM INSURED

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ADDITIONAL INFORMATION
Have you had any claims in the last 6 years?*
Are you and everyone residing at the property a UK Resident?*
Have you or anyone living at the property ever been refused insurance, or had any special terms imposed?*
Have you or anyone living at the property ever been declared bankrupt, been subject to bankruptcy proceedings, entered into Individual Voluntary Agreement (IVA) or received a County Court Judgment (CCJ)?*
Have you or anyone living at the property been charged with or convicted of any offence (other than motoring offences) received a police caution or have any pending prosecution that should be declared as per the Rehabilitation of Offences Act 1974?*
General information or outstanding matters:
Comments
This field is for validation purposes and should be left unchanged.

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REQUEST A QUOTE

POLICY HOLDER DETAILS

PROPERTY DETAILS

THACHED PROPERTY DETAILS

HOW IS THE PROPERTY OCCUPIED?

SECURITY & FIRE PROTECTION INFORMATION

COVER REQUIRED

ADDITIONAL INFORMATION