Full Name:
Address:
Risk Address if different from above
Tel (Home):
Tel (Work):
Email Address:
Date of Birth:
Sums Insured
Buildings:
Contents:
Frozen Food:
Sports Equipment:
Specified Items:
Unspecified Items:
Is the property detached/semi-detached/terraced/other?
Bank or Mortgage Society to be noted (if appropriate)
Please answer all the following questions
Is the property:
Only occupied by yourself and your family?	Yes No
Regularly occupied at night?	Yes No
Used solely for residential purposes?	Yes No
Of concrete construction and roofed with slates or tiles throughout?	Yes No
If answer is 'NO' to any of the above questions please give details:
Please give details of any claims during the past 5 years:
Do you wish to insure other items, e.g. jewellery? Please list & value:
ADDITIONAL INFORMATION FOR HOUSE INSURANCE
Alarm System Installed?	Yes No
Is it installed by NSAI approved installer?	Yes No
Is it installed by NSAI approved installer and connected to a central monitoring station?	Yes No
Security locks installed, doors & windows?	Yes No
Two smoke alarms installed?	Yes No
Neighbourhood Watch?	Yes No
If let to tenants, how many?
Year Built:
Renewal Date:
Please read our terms of business

Home Insurance Quotes

For most people their biggest investment is their home. At Cunnane Insurance Brokers - Insureall we arrange the best policy for your home.

• Private Dwellings
• Rented
  Accommodation
  
  
• Holiday Homes
  
  
• Guest Houses
  
  
• Buildings in the course of construction
  
  
• Self build packages available
  
  
• Discounts available where we insure both your car and your home
  
  You can also benefit from saving on your commercial motor insurance if we insure your Home.
  
  Or call us... 
  1890 929 225

Car Insurance Quotes