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Please read and answer all of the questions below carefully. If you require a non standard quote or any other help please call us on 0844 875 55 55 quoting WSS30.

Information Has the property (Or properties) to be insured suffered any loss or damage (whether insured or not) during the past five years? YesNo
Information Has the Proposer(s), partners(s) or director(s) suffered a loss, claim or incident (which may give rise to a claim) at these premises, whether insured or not in the last 5 years? YesNo
Information Has the Proposer(s), partners(s) or director(s) suffered a loss, claim or incident (which may give rise to a claim) at any other premises, whether insured or not in the last 5 years? YesNo
Information Are the walls of your property constructed of brick stone or concrete? YesNo
Information In a good state of repair, will it continue to be well maintained and is it occupied amongst properties that are well maintained? YesNo
Information Situated in an area free from flooding and not unduly exposed to storm damage? YesNo
Information Showing any signs of movement, which could be attributed to subsidence heave or landslip? YesNo
Information In an area where there is evidence of subsidence heave or landslip or flooding? YesNo
Information Is the property currently undergoing renovation or construction work or likely to do so over the next 12 months? YesNo
Information Do you share your premises with any other business? YesNo
Information Is the property a listed building?
Information * Please confirm the construction of the pitched roofed portion of your property:
Information Please state what percentage of your roof is flat?
Information Please confirm the construction of the flat roofed portion of the property:

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Has the property (Or properties) to be insured suffered any loss or damage (whether insured or not) during the past five years?
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Has the Proposer(s), partners(s) or director(s) suffered a loss, claim or incident (which may give rise to a claim) at these premises, whether insured or not in the last 5 years?
Close Help Window
 
Has the Proposer(s), partners(s) or director(s) suffered a loss, claim or incident (which may give rise to a claim) at any other premises, whether insured or not in the last 5 years?
Close Help Window
 
Are the walls of your property constructed of brick stone or concrete?
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In a good state of repair, will it continue to be well maintained and is it occupied amongst properties that are well maintained?
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Situated in an area free from flooding and not unduly exposed to storm damage?
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Showing any signs of movement, which could be attributed to subsidence heave or landslip?
Close Help Window
 
In an area where there is evidence of subsidence heave or landslip or flooding?
Close Help Window
 
Is the property currently undergoing renovation or construction work or likely to do so over the next 12 months?
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Do you share your premises with any other business?
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Is the property a listed building?
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Is the property designated a listed building by English Heritage or other equivalent or relevant authority? If so please select status.
Please confirm the construction of the pitched roofed portion of your property?
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Please select from the list, the construction material of the pitched roof. If the roof is covered with asphalt please confirm the construction type beneath the covering.

Please state what percentage of your roof is flat?
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What percentage of the roof (over the entire ground floor area of the property) is flat and not pitched.

Please confirm the construction of the flat roofed portion of the property.
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Internet Insurance Services (UK) Ltd is registered in England (Registration number: 03928028)
Registered office address: Alton House, 27-31 Grange Road, Darlington, DL1 5NA