Home Quote

Please fill out the fields below and send it off to receive your personal quote.
Note that Name, Phone number and E-mail address are mandatory fields.

Name
Risk Address
Date of birth
Email address
Daytime phone number
Building sum insured	€
Contents sum insured	€
Unspecified All Risks Required		yes no
If yes, enter sum insured	€
Specified All Risks Items (Please identify and enter sum insured for the individual items)
Any Claims in the past 5 years? (if so please enter date, reason for claim and settlement amount)
Do you meet the conditions below? If no please advise reason you do not meet the conditions:
Neither you nor any others residing with you ever been refused insurances or had any special terms, restrictions or conditions imposed by any Insurer.
		yes no
Neither you nor any others residing with you have ever been convicted or received a caution from the Gardai or have a prosecution pending for any offence involving arson or other damage or loss of property or dishonesty of any kind (e.g. theft handling stolen goods, robbery, fraud etc.)
		yes no
The premises is built of brick stone or concrete and roofed with slates tiles or other incombustible materials.
		yes no
The premises is maintained in a good state of repair and free from any signs of external or internal cracks.
		yes no
The premises is not likely to be left unoccupied for more than 30 consecutive days in any one year.
		yes no
The premises is not used for business or commercial purposes.
		yes no
The premises has never suffered damage through flood nor is there a history of such damage in the area.
		yes no
The premises shows no signs of damage which may be attributable to subsidence, heave or landslip.
		yes no
The premises has never been monitored for subsidence heave or landslip nor has it ever been subject to a survey which mentions settlement or movement of the premises nor has it ever been underpinned.
		yes no
If the house is not occupied by you please advise who occupies it and advise what is your residential address: