Buildings & Contents (B&C)    

Please tick the box to confirm you have read our initial disclosure document before submitting your enquiry
  1st Applicants Details     No Claims Discount
Title
Initial 
Surname
Date of Birth D M Y
 
If you are a First Time Buyer you are automatically awarded 2 Years No Claims
Are you a 1st time buyer?
Yes
No
If not a First Time Buyer, how many years have you been claim free (up to 5 years)
Buildings   Contents
  2nd Applicants Details     Home Emergency cover and Legal   Expenses cover (optional)
Title
Initial  
Surname
Date of Birth D M Y
 
Home Emergency cover provides uo to £500 per insured domestic incident and up to £100 transport to/or alternative accommodation. Legal Epenses cover provides protection against the cost of negotiating or defending legal rights up to £50,00 per insured incident.
Home Emergency cover required? Yes No
Legal Emergency cover required? Yes No
  Property Details  
Flat   Terraced Semi House
Detached house Semi
Bungalow 		Detached Bungalow
Number of Bedrooms (Between 1-8)
Build year      Full Postcode
 
 
    Personal Possessions (optional)
 
This insures clothing, baggage and articles of personal use normally carried by you and/or your family away from the home. Cover can be extended up to a maximum of £15,000
Personal Possesions required? Yes   No 
If 'Yes' please choose a level upto £10,000 for standard cover or upto
for £15,000 extra cover. 		 £ 
  Accidental Damage
This is a valuable extension to B&C and covers visible damage that has not been caused on purpose or inevitably. For example, the accidental damage of a window or mirror.
Buildings   Contents  
  Mortgage Details
Mortgage Exchange Date:
Mortgage Completion Date
 
  Type of cover  
Buildings are insured uo to a maximum rebuild cost of £300,000 and contents are insured up to a max of £40,000

If these cover levels are not suitable, you can apply for B&C Extra cover. Buildings extra cover is automatically included for any properties containing 7 or 8 bedrooms and covers up to a maximum rebuild cost of £500,000 for Buildings, Contents Extra provides £60,000 cover on contents.
Buildings & Contents  
Buildings only  
Contents only  
Is Buildings Extra Required? Yes No
Is Contents Extra Required? Yes No
 
  Eligibility Questions
If your property built in brick or stone with a slate of tiled roof?
Yes     No
Will the property be permanently occupied by you and/or your family?
Yes     No
Does the property have key operated locks fitted to all ground floor windows and 5 lever mortice deadlocks on all exit doors(including patio doors) ?
Yes     No
Have you or any member of your family living with you ever been convicted, or are currently charged with any offence other than a minor driving offence, or had any personal insurance declined, cancelled or agreed on special terms?
Yes     No
Have you or any residents at the property had any incident involving loss, damage or liability during the past 5 years, whether insured or not?
Yes     No
Will the property be left unoccupied for any reason for more than 30 days at any time?
Yes     No
 
Yes     No
Failure to disclose all circumstances relevant to the insurance policy could invalidate any insurance cover in the event of a claim.
A fully completed Application Form produced and submitted from Inertia is the only acceptable means of submitting new business to Paymentshield
I Agree
 
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