.:Oliver Wright Personal Financial Planning, New Ollerton:.

Date cover is required from:

First time buyer?	Yes No
Property type		Year built
Date of occupancy		No. of bedrooms
Wall type		Roof type
Flat roof	Yes No	Flat roof % coverage
Listed building?	Yes No	Is property for business use?	Yes No
Trees within 25m of property?	Yes No	Subsidence in the area?	Yes No
Has the property suffered flooding?	Yes No	Is the property self contained?	Yes No
Is the property unoccupied nightly?	Yes No	Type of ownership
Number of occupants - Adults		Number of occupants - Children (under 18 years)
Alarm fitted?	Yes No	Type of alarm
Is the alarm approved?	Yes No	Approved locks on doors?	Yes No
Key operated window locks?	Yes No	Exterior security lights	Yes No
Neighbourhood watch	Yes No	Smoke detectors fitted	Yes No
Is there a safe installed?	Yes No
Contents Insurance
Contents sum to be insured		Include accidental damage cover	Yes No
Most expensive item		No claims bonus (no. years)
Previous insurance company		Previous insurance policy number
Previous insurance expiry date
All risk cover required?	Yes No	If yes, amount of cover required
Buildings Insurance
Buildings sum to be insured		Including accidental damage?	Yes No
No claims bonus (no. years)
Previous insurance company		Previous insurance policy number
Previous insurance expiry date

Have you made any claims previously?	Yes No	If yes, please include details
		Please add any further relevant points to ensure we provide an accurate quote for you.

'Authorised and regulated by the Financial Services Authority'
Firm reference no : 300051