About Us
Products & Services
Brokers
Documentation
Contact Us
Unoccupied Buildings Proposal Form
1. Name of Proposer and Trading Title (if any)
2. Your Address
Post Code
3. Address of the premises to which this Insurance will apply
Post Code
4. If you are not the owner please indicate interest
5. Proposer's Business Description
6. Describe the premises:
(i) Are they:
House
Flat
Shop
Office
Industrial
Other (please describe)
(ii) Are they:
Terraced
Semi-Detached
Detached
(iii) Number of Floors
(iv) Approx. age
(v) Approx. size
(vi) Are the premises Grade Listed?
Yes
No
If so, please state which Grade
7. State Construction:
(a) External walls of the building
(b) Roof
(c) Floors
(d) Are there areas of non-standard construction (e.g. Flat Roofs), if so please describe:-
(e) What percentage of the construction is non-standard?
%
Page 1 of 6
Guidance Notes
Please answer all questions fully and carefully. There is a duty to disclose all material facts. Material facts are those that affect the judgment of a prudent Underwriter.
The proposal form and the information you provide forms the basis of the insurance policy you are purchasing and therefore is extremely important. Full disclosure should eradicate many issues at the time of a claim being made on the policy.
Full Name of Proposer
If a Limited Company please insert this name in the full name of the Proposer.
If a sole trader – please list your name in the full name of the Proposer and any Trading Name below this.
If a partnership, list all partners’ names in Full Name of Proposer and any Trading Name in the next box.
T: 020 8315 5000
F: 020 8460 2118
E:
mail@camberfordlaw.com
Camberford Law is proud to be the appointed provider to the British Insurance Brokers Association of insurance for Unoccupied Properties