Main Residence Enquiry Form

Personal Details

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Contact Details

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Please provide at least one phone number
Please enter a valid email
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Details of Property to be Insured

Please select a type of property
Please note the approximate size of the property, in either Sq. Ft. or metres square
Please include the value of the buildings to be insured
Please include the value of contents to be insured
Do you wish to cover items on an 'All Risks' basis?

All Risks Cover — Unspecified Items

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All Risks Cover — Specified Items





































































































Discount-Related Questions

Do you have a minimum of two smoke detectors?
Do you have a burglar alarm?
Is the alarm subject to a maintenance contract?
Is the alarm connected to a central monitoring station?
Are all external doors fitted with 5-lever mortice deadlocks or their equivalent and are all accessible windows fitted with key operated window locks?
Are you in a Garda approved Neighbourhood Watch or Community Alert Scheme?
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Declaration

  • built of brick, stone or concrete and is roofed with slates, tiles, metal, concrete or asphalt
  • in good repair and will be so maintained
  • my principle residence in my sole occupation and not used for business or professional purposes or for keeping paying guests.
  • not especially exposed to damage from storm, flood, subsidence, landslip, falling trees or vandalism
  • not left unoccupied for more than 30 consecutive days in any one year
  • not more than 100 years old.
You must make this declaration.
  • had any Insurer decline a proposal, refuse to renew or cancel a policy, or impose special terms or conditions
  • sustained any loss, damage, or incurred any liability to third parties during the past 5 years in relation to the cover now being sought for this or any other property.
If the above declaration is not correct, you must provide details of exceptions
If the above declarations are not correct, you must provide details of exceptions