Name* First Last Insured name (The name of the property owner) if different from above.* Email Address* Phone* Address of the Display Home* Street Address Address Line 2 City State Postcode Year Built* Construction of external walls* Construction of the roof Number of Stories If two stories, what is the construction of the 2nd floor? Security on propertyDeadlocks* Yes No Key Window Locks* Yes No Local Alarm* Yes No Back To Base Alarm* Yes No Building Sum insured including fixtures & fittings* Is flood cover required?* Yes No Annual rental income* Any claims/losses?* Yes No Does the building contain any Greenboard?* Yes No Does the building contain any Cladding?* Yes No If yes please provide type*What is the construction of the floors?* Concrete Timber Other Please State What percentage of your building is foam construction?* 0% More than 0% but less than 15% 15% but less than 30% More than 30% Any other Comments?CAPTCHA Δ
