Policyholder Name
Postcode
Cover Details
The sums insured will be fixed at £2,000,000 for leasehold liability and £10,000 for contents.
Disclosure of Information
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.
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.
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 Bode.
Annual Premium
If you have opted to pay monthly, please provide your bank details below:
Data Protection
I agree that the data supplied on this website page will be used exclusively by Bode Insurance Solutions to process the application and will not be used for any other purpose by Bode Insurance Solutions or by third parties such as marketing.