Community cover quotation


Proposer Details:
Name of Community

Person in Charge :
Title
First Name
Surname
Email
Date of Birth (dd(mm/yyyy)
Marital Status
Occupation
NIE / DNI Number
PostCode
Full Address


Description of Community:
Quality of Homes
Location
Use of the home
Year of Construction
Type of Construction
Construction Area (M²)
Plot area (M²)
Type of Property
Number of Properties
Number of shops / commercial properties


Security Measures:
Bars on Windows (or similar)
Standard Alarm
Alarm connected to security switchboard
Reinforced Safety Doors
Security service on urbanisation


Cover Details:
Sum Insured (Buildings)
Sum Insured (Contents)
Do you require glass cover (windows)?
Do you want a voluntary excess?
Civil responsibility is limited
to €200,000 - do you
require more?
Where did you hear about us?
Best quote so far (€)
How do you normally pay for
your insurance?
Optional Extras
Maximum legal defence cover
Personal accident cover
Vehicles in Garages (such as motorcycles)


General Details:
Have you suffered any losses or
made any claims in the last
5 years? If so, please state
what for and for how much