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Do you own this property:

Who lives in the property:

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Does anybody in the property smoke:

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Is the property ever used for business use:

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Does the property have an alarm:

What lock is fitted to your main door:

What other lock is fitted to any other external doors:

Do all ground floor windows have key operated locks:

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How many working smoke alarms are there in the property:

Rebuild value of the property:

Would you like accidental damage cover for buildings:

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How many years NCB do you have buildings insurance:

Contents value of the property: (including fixtures, furniture, utensils)

Any specific items worth over £1000:

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Would you like cover away from home:

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Would you like accidental damage cover for contents:

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How many years NCB do you have content insurance:

In the past 5 years, have you or anyone living at the property made any home insurance claims or suffered any losses or damage, whether insured or not:

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Your Insurance History

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What type of claim was it?

What date was the claim?

Has the claim been settled?

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