Property Insurance Quote Form

1. Full Name
Enter your first and last name in the provided field.
2. Birthday
Input your date of birth in the format dd-mm-yyyy.
3. Address
Provide your current address in this field.
4. Telephone
Enter your phone number in the space provided. Ensure it’s accurate for future contact.
5. E-mail
Input your email address. Double-check for any errors to ensure you receive a response.

Amount of Insurance Required
6. Contents
Enter the total value of the contents/items within the property that you want to insure.
7. Number of Floors
Specify the number of floors in the building/property you are insuring.
8. Wall Material
Check the box next to the material that best describes the construction of the building’s walls. Options include: Concrete, Metal, Wood, Mixed (Wood & Concrete)
9. Roof Material
Select the material for the roof from the dropdown menu. Options include: Zinc, Other materials (if applicable)
10. Building Usage
Choose the type of building usage from the dropdown menu. Common options include:
Private Dwelling House, Other usage types (depending on the options available)

Additional Information
11. Loss Due to Fire or Other Perils
Answer whether you’ve ever experienced a loss due to fire or other perils by selecting either:
Yes or No
12. Burglar Alarm System
Specify whether the dwelling is equipped with a burglar alarm system by selecting either:
Yes or No
13. Submit
Once all fields are filled in, click the “Submit” button at the bottom of the form to send your information.

Additional Tips:

• Double-check all information for accuracy before submitting.

• You may be contacted by the insurance provider for further details or to discuss your insurance needs.

• Remember to provide accurate information to ensure you have the appropriate amount of insurance coverage.