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Please enter your details below. (If you would prefer to print and complete a proposal form by hand, please click here.)
 
  

PLEASE NOTE: 
    
All items below must be completed.
 		  
  Acting Solicitor:   
  Solicitor’s Address:   
     
     
  Postcode:   
  Solicitor’s Phone No.:   
  Solicitor’s Fax No.:   
  Email Address:   
  Estate Name:   
  At Risk Address:   
     
     
  At risk Postcode:   
       
 
Property Details:		 
  1         
  2       
 
 
3
Approximate year of construction  
 
  4 Number of bedrooms  
    
Yes		 
 No		 
  5aIs the property in a good state of repair? * 
 
 
  5b Does the property have lockable doors and windows which will protect it from the elements? * 
 
 
  6Is the property constructed of Brick, Stone or Concrete and roofed with Slates, Tiles or Asphalt? * 
 
 
 7Is the property undergoing renovation? * 
 
 
  8Is the property within 200 Metres of any river, sea or reservoir? * 
 
 
  9Does property exceed 20% flat roof area? * 
 
 
 10 Does property show any signs of subsidence, landslip or heave? * 
 
 
 11  Are there any trees/shrubs which are taller than  3 metres height within 7 metres of the property? * 
 
 
 12  Is the property a listed building?  
 
 
 * If you selected any of these asterisked options above, please call UPI free on 0800 587 4749. 
     
 Policy start date:
Please note that cover cannot be backdated, so the date you enter in the box above should be, at the earliest, tomorrow. You may post-date the start date for any future date from tomorrow onward. 		 
 
Premium Calculation:		  
 Please enter the rebuild cost of the property:   £  
 
Please tick this box if you would you like to also insure the Contents of the property.

This optional cover is available as a fixed sum insured of £15,000 for a fixed premium of £157.50, inclusive of Insurance Premium Tax.
 
 Administration Fee:  
 
 
 
This premium is for a full six months and is
non-refundable in the event of cancellation:		  
 
This premium is IN FULL for 6 months
with no refunds for early cancellation
  
 
 
    
 
UPI requires a signed copy of your application, so please print this form by clicking the Print Application button below, and then sign and post it to UPI together with your payment. Please ensure that you have entered all required fields above.
 
 
 Please send your signed application, together with your payment, to:
Unoccupied Property Insurance,
Alexandra House, Royal Pier Road, Gravesend, Kent DA12 2BD
 
To apply for Immediate Cover please click the Send Application button below. This will send us an electronic copy of your application so that we can start processing your application immediately.

Please note that Terms & Conditions apply - see below.
 
 
 
Conditions
 Subsidence: The policy includes subsidence cover. Unoccupancy Clause: during the period 1st October to 1st April the central heating system, unless in continuous operation at not less than a minimum temperature of 55F (13C) must be drained and the water system turned off at the mains. If property is unattended or unoccupied for more than 30 days, the property must be inspected by either the insured or the insured's representative. Property must not be boarded up and the property must be secured by mortise deadlocks on final exit doors and accessible windows secured by key operated window locks and if a burglar alarm fitted, it must be set.
Declaration: The questions asked on this form relate to facts considered as material to the underwriting of the policy. (N.B. a material fact is one likely to influence the acceptance or assessment of your proposal by underwriters. If you are in any doubt as to what constitutes a material fact, you should consult the company.) I understand that signing of this proposal does not bind me to complete the insurance, but agree that, should a contract of insurance be concluded, this proposal and the statements made therein shall form the basis of the contract. To the best of my knowledge and belief, the information provided in connection with this proposal, whether in my own hand or not, is true and I have not withheld any material facts. I declare that the values stated are not less that the full re-instatement costs. I understand that non-disclosure or misrepresentation of a material fact will entitle underwriters to void the insurance.
 
 
I have read, understood, and agree to your Terms and Conditions,
signed



  
Dated: 		 
   

 

 

1. Get a Quotation

Enter your details in the form on the left and then press the Get Quotation button below.

2. Get Immediate Cover

If you're happy with the quotation, simply press both the Print Application and Send Application buttons, and follow the instructions.

 

 

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