House and contents quotation
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Proposer Details: |
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| Title | |
| First Name | |
| Surname | |
| Date of Birth (dd/mm/yyyy) | |
| Marital Status | |
| Occupation | |
| NIE / DNI Number | |
| PostCode | |
| Full Address | |
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Description of home: |
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| Quality of home | |
| Location | |
| Use of the home | |
| Year of Construction (yyyy) | |
| Type of Construction | |
| Construction Size (M²) | |
| Type of Home | |
| Year Renovated (yyyy) | |
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Security Measures: |
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| Bars on windows (or similar) | |
| Standard Alarm | |
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Alarm connected to a security
switchboard |
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| Reinforced Safety Door | |
| Security Service on Urbanisation | |
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Cover Details: |
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| Buildings Sum Insured (€) | |
| Contents Sum Insured (€) | |
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Any item of jewellery, special
equipment valued over €3000, please specify |
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Amount of jewellery kept
in safe (€) |
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Required Covers: |
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| Basic Coverage | |
| Water Damages | |
| Aesthetic Repairs | |
| Theft | |
| Breakage | |
| Liability | |
| Household Assistance | |
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Additional Cover: (Only available if contents cover has been taken) |
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| Travel Assistance | |
| Basic Legal Defence | |
| Comprehensive Legal Defence | |
| Household Appliance Breakdown | |
| Accidental Damage | |
| Accidents | |
| Liability for Dangerous Dogs | |
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Vehicles and boats kept in
the garage |
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Where did you hear about us? |
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| Cover Start Date (dd/mm/yyyy) | |
| Best quote so far (€) | |
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How do you normally pay for
your insurance? |
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Claims General Details: |
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Have you suffered any losses or
made any claims in the last 5 years? If yes, please state which and how much |
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| Are you a home owner? | |
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