Home Insurance Quote

PERSONAL DETAILS

Title:
MrMrsMsMasterMissDrCapt.Other

First Name:

Surname:

Date of Birth:

Email Address:

Home Phone Number:

Mobile Phone Number:

Have you been resident in the UK longer than 12 months?
Yes No 

House Number/Name:

Postal Code:

Is Your Property Listed:
 Yes No Not Sure

How many adults permanently live at your home?
---12345678910More than 10

How many children (under 18) permanently live at your home?
---12345678910More than 10

Please tell us whether you rent or own your home:
---MortgagedOwnedCouncil RentedPrivate RentedHousing AssociationOther

Approximate year your house was built (within 10 years):

Property Type:
---Detached HouseSemi-Detached HouseMid Terraced HouseEnd Terraced HouseMaisonetteDetached BungalowSemi Detached BungalowApartment - Ground FloorApartment 1st floor or above

What are the exterior walls mostly built of?
---BrickRendered BrickTimber Frame with Brick WallsTimber Frame with Plastic PanelsStone/FlintConcreteTimberPre-fabricatedWattle & DaubCobOther

Is any part of your roof flat?
---NoneUp to a QuarterQuarter to HalfOver Half

How many bathrooms (including en-suite) and toilet rooms does your home have?
---1234567899 More

Number of bedrooms?
---1234566 or more

Do You Wish To Add a joint policyholder?
 Yes No

If Yes, please complete below:

Title (Additional Policyholder):
MrMrsMsMasterMissDrCapt.Other

First Name (Additional Policyholder):

Surname (Additional Policyholder):

Date of Birth (Additional Policyholder):

When do you want cover to start?

No Claims Information

Tell us how many claims were made and/or losses suffered in the last 3 years by you and anyone living with you?
---1234566 or More

Claim Information (List information of claim as follows: DATE OF CLAIM, TYPE OF CLAIM, APPROX VALUE OF CLAIM,ADDRESS OF CLAIM.)

Claim free years on Buildings insurance?
---12345677 or more

Claim free years on Contents insurance?
---12345677 or more

Additional Information

Do you own a dog or a cat?
 Dog Cat Neither

Do you have a professionally installed and maintained alarm system in your home?
 Yes No Don't Know

Do you have an alarm system that will automatically alert the Police?
 Yes No Don't Know

Required Buildings Sum Insured?
---Up to £1,000,000Over £1,000,000

Required Contents Sum Insured?
---Up to £10,000£10,001 to £20,000£20,001 to £30,000£30,001 to £40,000£40,001 to £50,000Over £50,001

High Value Items (Over £1,500):

Personal Possessions Outside of the home?
 Yes No

Preferred Excess:
---Nil£50£100£150£200£250£300£350£400£450£500

Accidental Damage Required?
 Yes No Please Quote

Home Emergency Cover Required?
 Yes No Please Quote

Family Legal Protection Required?
 Yes No Please Quote

Privacy

How we will use your information

We will use your information to assess your insurance application and the terms on which cover may be offered. We may exchange your information with other insurers, reinsurers or other carefully selected third parties in order to manage your policy and offer you the best possible service. We will also obtain information about you from credit reference agencies to check your credit status and identity. The agencies record our enquiries but your credit standing will not be affected.

Simply Financial Advice Ltd and GBF policies are underwritten by UK Insurance Limited (UKI). The information you give us may be used by owned brands within UKI to submit to, and check your details with, fraud prevention agencies and other organisations. If you provide false or inaccurate information, we will record this. We and other organisations may use and search these records to prevent fraud and money laundering.

If you would like full details on how we will use your information, please refer to our Privacy Policy or the policy booklet.

Important information

I have read and agree with all the assumptions assumptions ?
 Yes No

In order to service and administer your policy we will share your details with Great British Finance Limited and its group of companies and brokers. By completing this quote you are giving us permission to contact you via email regarding your quote for an annual policy. We will not contact you for any other reason unless you agree that we may do so.
Simply Financial Advice Ltd and the GBF group of companies would like to use your personal details to:

- confirm, update and improve their customer records;
- analyse and develop their relationships with you;
- help in processing any applications you may make;
- identify and market products and services that may be of interest to you either directly or via GBF Insurance plc;
- carry out statistical analyses.

The Simply Financial Advice Ltd and GBF may also disclose your information to other carefully selected partners so they may let you know about other appropriate products or services which they feel may be of interest to you. The GBF group will not sell your information to third parties.
If you would prefer us not to contact you about other products, services and offers via any of the communication methods listed below, please select No in each case.

Telephone: Yes No 
SMS/Text: Yes No 
Post: Yes No 
Email: Yes No 

The information you provide may be used to check your details with other agencies and organisations to help prevent fraud and money laundering. Any false or inaccurate information you provide will be recorded. Full details are available in our Privacy Policy.

Please confirm you are happy with the selections above*