Occupancy (continued)
4. Is cooking allowed other than in designated areas?
Yes No
5. Is the property left unoccupied for any part of the day?
Yes No
  If Yes,
please give details
6. Has any Insurer ever
(a) Declined a proposal?
Yes No
(b) Refused to renew or cancelled your Policy?
Yes No
(c) Imposed special conditions (e.g. extra protections)
Yes No
  If Yes,
please give details
7. Have you sustained any loss or damage during the last five years which would have been covered by this type of insurance had it been in force?
Yes No
If Yes, please provide the following details:-
YearClaim Type and Brief DetailsAmount PaidAmount O/S
2005
£
£
2006
£
£
2007
£
£
2008
£
£
2009
£
£
The Property
8. (a) Is it built of brick/stone/concrete and roofed with slates/tiles/metal/concrete asphalt and/or sheets or slabs composed entirely of incombustible minerals?
Yes No
  If No, please give details
(b) Is it in good condition and will be so maintained?
Yes No
(c) Please state method of heating
(d) Are portable heaters used?
Yes No
  If Yes, please indicate type
(e) Is it in an area liable to flooding or unduly exposed to storm or malicious damage?
Yes No
  If Yes, please supply details
(f) Are there any underground workings in the vicinity of the property, including wells, shafts or pipes?
Yes No
  If Yes, please supply details
Registered in England: Number 608819
Authorised and Regulated by the Financial Services Authority
Registered Office:
Lygon House, 50 London Road, Bromley, Kent. BR1 3RA