General:
Proposer Name:
Address 1:
Address 2:
Post Code:
Telephone No:
E mail:
Business description:
Type of Firm: Tenants Management Company
Property Owner
When established:    
Annual Turnover: £
Have you had any claims in the last 5 years: Yes   No
If Yes, please give details:
Premises:
Number of flats:
Are your premises detached? Yes   No
Are your premises: Purpose built
Converted
Non combustible construction? Yes   No
Do premises have concrete floors and stairs? Yes   No
Do you have an intruder alarm? Yes   No
Sums Insured:
Buildings £
Contents of common areas £
Loss of annual rent £
Indemnity period for Loss of Rent    
Your name: Position: