Crammond Insurance: Insurance Consultants Life & Pensions
 

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Home Quotation

To enable us to provide a quotation we will require the following information:

You are reminded that in law you have a Duty of Disclosure of facts that could affect the Insurers decision to insure (material facts).  Any changes in circumstances, such as claims, convictions, change of occupation, etc which is not disclosed to your Insurer could invalidate a claim you may have.  Your Insurers have assessed and accepted the risks presented to them based on information provided and any variation in those details which is not disclosed, could result in an uninsured loss.

Personal Details
Proposer Title First Name Initials Surname
Date of Birth Marital Status
 

Co-Proposer

 Title First Name Initials Surname
Date of Birth Marital Status
 
Current Arrangements
Insurer
Renewal Date
Proposed Premium £
 
Address
Postcode
Phone
Fax
E-mail
 

 

Property
Type of House
Approx Year Built
No. Of Bedrooms
Maintenance Contract Yes No
Occupied Daytime Yes No
Window Locks Yes No
5 lever mortice locks on final exit door Yes No
Smoke Detectors Yes No
Neighbourhood Watch Yes No
Standard Construction Yes No
 

 

Previous Claims
Date Type Amount
£
£
£
£
£
 

 

Buildings Cover
Buildings Cover Yes No
Accidental Damage Yes No
Sum Insured
 

Our standard content policy includes accidental damage cover. All personal possessions are covered outside the home, and abroad for up to 30 days subject to a single article limit of £1000.

Contents Cover
Contents Cover Yes No
Type of Cover
Sum Insured
Claim Free Years
Is Property used for Business Purposes Yes No
 
All Risks Cover - Specified (items over £1000)
Please specify below any item taken outside the home valued at more than £1000 plus any pedal cycle worth more than £250.
Item Value
£
£
£
£
£
 
Legal Expenses Cover Yes No
Any other relevant information or additional covers required:

Data Protection:
So that we may fully understand your circumstances and requirements, Cramond Insurance Consultants Ltd will collect all the information you provide and will hold this as Data controllers under the Data Protection Act 1998. 

Our regulator the FSA requires us to keep records of our business transactions for at least 3 years.  Some records are required to be held for longer.  However, we will not keep records longer than is necessary.  To protect your privacy, you, or your appointed agent, have a right to inspect computer (and certain manual) records relating to yourself and your transactions through ourselves and where appropriate have it corrected or deleted.  All such requests for information must be referred to George Minty.  As we treat all our clients' records as private and confidential, we reserve the right to give you copies of your records, where in certain circumstances to release the original would compromise other clients' confidentiality.

You are also aware that we or any such company may contact you in the future by any means of communication considered appropriate at the time in relation to matters mentioned.  There may be occasions where our regulator the FSA, as part of their regulatory function, requests to look at your personal information or records of your transactions, as held by ourselves.  They may also need to contact you directly.  On such occasions, you agree that we may disclose such information to the FSA and that the FSA may contact you directly if they so require.  By sending the information to Cramond Insurance Consultants Ltd It is deemed that you accept the aforementioned terms.
 

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