Apartment Landlord Application

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Apartment Landlord Application

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Fields marked with an * are required

Policyholder Name *

Correspondence Address

Correspondence Postcode

Property Address *

Property Postcode *

Telephone Number

Email Address

Start Date *

This cannot be backdated, and the earliest cover can start from is the date this application is received by Hepburns Insurance

Cover Details

The sums insured will be fixed at £2,000,000 for leasehold liability and £10,000 for contents.

The question on this form relate to facts considered material to underwriting the insurance. If you answer them fully and honestly you will be considered to have fulfilled your duty to disclose material facts. Failure to do so may invalidate your insurance. If you are in doubt please advise us.

Have you ever suffered loss whether covered by insurance or not, made any claims or been involved in any incidents which could have resulted in a claim in respect of the risks proposed within the last 3 years?

Have you ever had an insurance proposal or renewal refused, or policy cancelled, or special terms imposed for the risk proposed?

Have you ever been declared bancrupt or currently have any legal insolvency arrangements with creditors?

Have you ever been charged, convicted or cautioned for a criminal, health & safety, welfare or environmental offence other than Road Traffic Law offences?

Is the apartment let?

Will the property be unoccupied for a period exceeding 45 days?

Is the property of standard construction of brick, stone or concrete and roofed with slates, tiles?

Notes

Cover will not apply to personal possessions or valuables left at the property. Dependent upon the values insured, certain Minimum Security Standards may apply (Please check with Hepburns Insurance for further details)

Declaration

I/we declare that the information given is, to the best of my/our knowledge and belief, correct and complete. I/we agree that the insurance will not be in force until this application has been accepted by Hepburns Insurance. *

Annual Premium

	Monthly	Yearly
Total Premium	£7.50	£85.00
Monthly Admin Fee	incl. fee
Total Cost	£90.00	£85.00

Extra Information (if applicable)