House Insurance Quote

    Quote Form

    Please take 50 seconds to complete the following form to receive a tailored quotation for your house insurance.

    Required fields are marked with * | View Terms of Business

    • For Office Use:
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    • Your Details

    • First Name *
    • Surname *
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    • Date of Birth *
    • Telephone *
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    • Occupation *
    • Mobile *
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    • E-mail *
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    • Property Details

    • Property Type *
    • Address *
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    • Your Property Is *
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    • Year Built *
    • Town / City *
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    • Years at Current Address
    • County *
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    • Number of Bedrooms *
    • Heating System in Place:*
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    • Buildings Cover Amount (€) *
    • Service Provider:*
    • Contents Cover Amount (€) *
    • Burglar Alarm:*
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    • Current Insurance Details (If Any)

    • Name of Current Insurance Company *
    • How many Years Claims Free do you have ? *
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    • Current Premium
    • Any Claims/Losses in the past 6 Years ? *
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    • Renewal Date *

      NB: QUOTE ONLY VALID FOR 30 DAYS
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    • Details of Claims (If Any)

    • Claim 1

    • Date
    • Type
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    • Amount (€)
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    • Claim 2

    • Date
    • Type
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    • Amount (€)
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    • Claim 3

    • Date
    • Type
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    • Amount (€)
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    • Claim 4

    • Date
    • Type
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    • Amount (€)
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    • Other Details

    • Where Did You Hear About Us?*
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    • PLEASE NOTE: QUOTE ONLY VALID FOR 30 DAYS
    • I confirm that the following Assumptions are correct:
    •