C&P - Contact Us

COMMERCIAL
RESIDENTIAL LETTINGS
RESIDENTIAL SERVICE CHARGE
RISK MANAGEMENT

EST 1994

Chartered Surveyors & Property Consultants

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Insurance Enquiry Form

* = Required

GENERAL
Property Owners Name:

Address of Property to be Insured (Including Postcode):
*
Occupation of Premises - e.g. Residential - PDH (Private Dwelling House, Flats (how many), Retail/Commercial (What Trade) Manufacturing/Storage/Offices:
*
If the property is unoccupied, how long has it been unoccupied and how much longer is it expected to be:

PROPERTY OWNERS INSURANCE
What is Construction - e.g. Standard Construction (Brick, Steel, Slate, Tile):
*
Approximate Age of the Building:
*
Flats - Number of Flats, Purpose Built or Converted, Concrete or Wooden Floors:

Sums Insured

Buildings (Full Rebuild Value Allowing for Outbuildings, Debris Removal and All Professional Fees etc)	£*
Landlords Contents	£*
Annual Rent for the Property	£*

Any History of Subsidence or Flooding:
*
Any Permanent Employees e.g. Caretakers/Commissionaires:

Annual Wageroll & Occupation:

CLAIMS
Please advise details of any loss or damage during the last 5 years whether claimed or not, which would have been covered by this type of insurance had it been in force:

Renewal Date of Current Policy:

Current Insurer:

Current Insurers Premium:

Claims Excess:

CORRESPONDANCE DETAILS
Name:
*
Address:
*
Email:
*
Telephone Number Day/Eve:
*

Data Protection Authorisation Authority
Some or all of the information which you supply to Curry & Partners LLP will be held by us for the purposes of assessing your needs and your suitability for particular products and services.

For the purposes of providing you with appropriate advice we may share this information with carefully selected suppliers.

We may also inform you by email, post or telephone about other products and services available from Curry & Partners LLP or other companies associated with Curry & Partners LLP. We may share your information with these companies for these purposes. If you prefer not to hear from Curry & Partners LLP on this basis, please tick this box:
By Accepting These Terms
You agree that the information we hold about you can be held on computer and/or paper files.

You agree that any information which you give us may be disclosed to third parties (e.g. regulatory bodies - such as the FSA, and / or product providers, and / or members of the Lorica Group of firms) for the purpose of processing your application or to another firm upon the sale of all or part of our business.

I/We confirm receipt of the Curry & Partners LLP Terms of Business
Name:*
Date:*
By Ticking This Box, You Agree to the terms stated above: