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Residential Let Property insurance
Enquiry Form
PART 1: CONTACT INFORMATION
1
Name of insurance broker (if any) making this declaration of facts
Name of person completing this form
2
Postcode (proposer or broker)
3
Contact email address
Contact Telephone Number
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Versions: Enquiry 1.7 XLtoWeb 1.0.0.0
Please answer all questions fully and carefully. There is a duty to disclose all material facts. Material facts are those that affect the judgment of a prudent Underwriter.
The proposal form and the information you provide forms the basis of the insurance policy you are purchasing and therefore is extremely important. Full disclosure should eradicate many issues at the time of a claim being made on the policy.
Full Name of Proposer
If a Limited Company please insert this name in the full name of the Proposer.
If a sole trader - please list your name in the full name of the Proposer and any Trading Name below this.
If a partnership, list all partners' names in Full Name of Proposer and any Trading Name in the next box.
T: 020 8315 5000
F: 020 8460 2118
E:
mail@camberfordlaw.com