Landlord Property Owners Quote – Bode Insurance Solutions

Name *

First

Last

Date of Birth *

Correspondence Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone Number *

Email *

Other Contact Details

Declaration

Have you ever had an insurance proposal or renewal declined, cancelled, voided or special terms imposed? *

Have you been convicted of or charged (but not yet tried) or been given a policy caution in respect of any criminal offence other than a motoring offence? *

Have you ever been declared bankrupt or insolvent or disqualified from being a company director or been involved as a partner/manager to a company which went into receivership/administration or liquidation? *

Have you been the subject of any county court judgement, IVA or CVA? *

Have you been investigated or prosecuted by HM Revenue and Customs investigations in the last 5 years? *

Tenants

Do you let to: Working tenants? *

Do you let to: Retired tenants? *

Do you let to: Housing Welfare? *

Do you have an HMO (House of Multiple Occupation)? *

Do you have a written assured short hold tenancy agreement in place? *

Do you take references for tenants (either by credit/landlord or use a managing agent)? *

What is your minimum tenancy period? *

6 months
12 months
24 months

Rental Property

Rental Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

How long have you owned the property? *

Is the property occupied at the moment? *

If no, how long has it been empty?

What is the property type?

What year was it built? *

Is it a listed building? *

If yes, Grade 1 or Grade 2?

How many bedrooms? *

How many bathrooms? *

What’s the construction of the building? *

What is the construction of the roof? *

Do you have a flat roof? *

If yes, what % of your overall roof space approximately?

When was the flat roof last inspected? (date) *

Is the property near a river/stream/watercourse (within 400 metres)? *

Any history of flooding? *

Any history of subsidence/landslip/heave? *

Has it had an electrical inspection in the last 5 years (EEC form in place)? *

How is the property heated? *

Building comply with the fire safety order 2005 (flats only)? *

Yes
No
Not Applicable

Any home claims in the last 5 years? *

Security

Do you have a 5 lever mortice deadlock (bs3621) on final exit doors? *

Key operated window locks on all accessible windows? *

Do you have an alarm? (bell only or signal)? *

Any other security measures? (cctv, grilles, shutters, bars in windows etc) *

Cover requirements

What’s the rebuild value of the property? (index linked or uplift %) *

Do you need buildings cover? *

Do you need contents cover? *

Would you like loss of rent cover (inc annual rent payable/paid) ? *

Property owners liability level £2 Million (auto included)

Is employers liability required? (Company owned properties or domestic cleaners/Gardeners) *

GDPR Agreement *

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