CHARTERHOUSE, 43 ST.LEONARDS ROAD, BEXHILL-ON-SEA, EAST SUSSEX  TN40 1JA  
Tel: 01424 733727   Facsimle: 01424 731781
Email: cover@bureauinsure.co.uk      
Website: www.bureauinsure.co.uk
 
FLOOD INSURE - QUESTIONNAIRE
(Send this questionnaire, together with a remittance made payable to Property Underwriting Services
of £175.00 to the above address)
       
    
       Name:________________________________________________________________________

     Address:______________________________________________________________________

 

    Postcode:__________________ Contact Tel. No:_______________________________________

    Risk address (if different from above):_________________________________________________

     __________________________________________________Postcode:___________________
 

 

1)

   Age of Property__________________
 

 

    
 

2)

   Type of Property (e.g. House, Flat, Bungalow, Chalet, Detached, Semi-Detached, Terrace, End Terrace)

__________________________________________________________________________________________________________
 
 

3)

   Construction of Property_____________________________
 
 

4)

   Buildings  Sum Insured of Property £_______
 
 

5)

   Have you ever suffered a flood claim? Yes___   No___   If  yes please give full details on a separate sheet
 
 

6)

   Are you having difficulty in obtaining full terms Household Insurance because of flooding in the area?    Yes_____   No ______  If  yes please give full details on a separate sheet
 
 

7)

   If  the answer to either of the above is yes please give details as to why you now feel insurance should be provided (i.e. what works have been carried out to minimise the risk)

____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
 

 

    
  If sufficient room on this questionnaire please give further information on separate sheets. Each risk is individually assessed and acceptance of the questionnaire and remittance is not a guarantee that insurance will be provided. Some insurance quotations may be given subject to further works being carried out. The valid Insurance offer that can be made is after presentation of the risk to underwriters and confirmation in writing by Bureau Insure Services Ltd.

 
 

GUARANTEE....No Insurance -No Survey Fee
If insurance is not offered following our inspection and report we will refund the Survey Fee (£175.00)
less a small administrative fee of £50 + VAT
   
   
  The only valid offer of Insurance is one that is made in writing by Bureau Insurance Services Ltd. In all cases the Underwriters decision is final. The survey report remains, at all times, the copyright of the Property Underwriting Services and is for their and the Underwriters use only.
   
   
   
   
 

 

   

BACK