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HOUSEHOLD INSURANCE ONLINE

G J Sladdin & Co Ltd
17 Clare Road, Halifax, HX1 2HZ
0800 731 3989
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Quotation Form
To request a quotation complete and submit our simple form below. You will receive email confirmation of your enquiry with a reference number and a full written quotation will be posted within 48 hours of your request. However if your policy is due for renewal and you require an immediate quotation call our freephone number 0800 731 3989.
Your Details
Title Initial/s
Surname *
Postal Address *
City / Town / Village *
County *
Post Code *
Daytime Telephone (inc. STD code) *
Email Address *
Insured's Date of Birth * DD/MM/YYYY
Insured's Occupation (please provide precise details including type of business/industry) *
Type of Insurance Required
Is the Insured a First Time Buyer? Yes No
How Long Have you Owned the Property
Where did you find out about us?
Other
 
About Your Property
Type of Property
No. of Bedrooms
Year Built (if known)
Is the Property A Listed Building
Standard Construction (i.e. stone/brick brick walls with pitched slate/tiled roof) Yes No
If the property is not of standard construction, please specify details of the construction, and tell us if your property is thatched or has a flat roof of more than 25% of total roof (please state approx % flat roof)
 
Sums Insured
Buildings (re-instatement costs, not purchase price)
For Let Property, Please state Sum Insured for Loss of Rent
Contents (replacement costs)
Unspecified All Risks (miscellaneous items up to £1000 each)
Specified All Risks (specified items, each valued over £1000) Item 1 : Value :
Item 2 : Value :
Item 3 : Value :
Item 4 : Value :
Item 5 : Value :
Is Accidental Damage cover required? Yes No
Does the Insured require Subsidence Cover? Yes No
 
Previous Claims
Have you had any claims within the last 3 years? Yes No
If you have answered yes to the above question, please provide full details of any claims including dates, type of claim and cost.
 
Additional Information
Name of present insurers
Renewal Date
Premium paid last year
 
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