Bridge Insurance

Let Property

Name:
Email Address:
Risk Address:
Postcode:
Date of Birth:	(dd/mm/yy)
Occupation:
Type of Construction:
Year Built:	(yyyy)
Number of Storeys:
Floor Construction:
Standard Construction:
Flat Roof?	(yes/no)
If Yes %	(%)
Is there history of subsidance or flooding?		(yes/no)
Sum Insured:		(£)
Occupied at Inception?		(yes/no)
If No - How long until occupied
Have tenants been found?		(yes/no)
Any refurbishment works to be done?		(yes/no)
What work to be done?
How long will it take?
Cover type:
Type of tennants:
Tenancy agreement with tenants for at least 6 months?
Any contents cover required?		(yes/no)
Any claims (in last 5 years)		(yes/no)
Target Premium?		(£)
Mortgage Company?
Solicitor?

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