Unoccupied Building Quotation Request

Crown Insurance Consultants 01784 436262

PROPOSER DETAILS

Additional Locations
When did the premises become unoccupied and what is the intended use. Please provide details including any building work. Are you using Professional Builders?

Construction
	Walls
	Floors
	Roof
	Is the building a modern architectural conversion? or Grade Listed?	Yes No


	Is planning permission required for any works, if so, has permission been granted.

Covered Required
Subsidence ?
Does the Proposer wish to extend cover to include subsidence?			Yes No
Do you want to extend cover from fire, lightening, explosion and aircraft?			Yes No
Is the property to be demolished?			Yes No


Building Sum Insured
Declared Value at Inception (£)
	Additional buildings sum insured (As specified above)
	Claims details within the last 5 years


Security and Additional Information
Additional information that you wish to declare to help us obtain a competitive premium.

* = Input is required