Fill out the form and click "Send" to receive your Household Insurance QuickQuote
 
PERSONAL DETAILS
   

Name:
   
Correspondence Address:
   
Risk Address:
   
Telephone:
 
Mobile:
   
Email:
   
Date of birth:
Day
Month
Year
   
INSURANCE DETAILS
   

What is the full rebuilding cost of your home?
   
Do you require accidental damage cover on your buildings?
   
How much contents cover do you require?
   

Do you require accidental damage cover on your contents?
   
Do you require all risks cover for any items outside of the home? eg. Laptops, jewellery, watches etc.
Details:
   

How much all risks cover do you require? €1000  €2000  €5000

€1000
 €2000
 €5000
   
PROPERTY DETAILS

Year house was built (approx):
   
Is the house of standard construction?
   

Is it a terraced, semi detached or detached house?
   
How many bedrooms are there?
   
OCCUPANCY
   

Is the house owner occupied?
   
If not, please advise as to whether it is a holiday home or rental property:
   
If it is a rental property, how many tenants are there?
   
SECURITY
   

Do you have 2 smoke detectors?
   
Do you have a burglar alarm?
   
Is it fitted to Irish Standard 199 or its equivalent?
   
Are all your external doors fitted with five lever mortice dead-locks or their equivalent?
   
CLAIMS
   

Have you had any claims in the last six years?
   
If yes, please state when:
   
How much was your claim for?
   
What did you claim for?
   
 
Any other Information that may be relevant :

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