Welcome to your Leisure Home quote. Please complete the following information and click next 
 
Policy Start Date
Date from which cover is to start
Day Month Year

Personal Details
Title
Forename(s)
Surname
Telephone number
Date of Birth
Day Month Year
What is your email address
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Can we contact you in the future via e-mail with details of other products and services that we offer?

Leisure Home
Use of premises
Leisure Home Postcode
  
  Leisure Home Address
   
   
   
Type of cover?
How many months a year is the site/park open?
Is the park registered with the British Holiday & Home Parks Association or National caravan Council?
Approximately how many homes are there on the Park?
What is the Make of your Leisure Home?
Year of manufacture
Is the Leisure Home fitted with a flotation device?
Leisure Home Sum Insured (the replacement cost as new including site clearance, and re-siting)
Which Type of Cover do you require?
Leisure Home Contents Sum Insured
Which Type of Cover do you require for your Contents?
Do you or any member of your family use any part of the property for business use?
Does the Leisure Home have a Tile/Tile Effect Roof (E.g. Decra)?

Security
Are your doors fitted with a mortice deadlock or a rim automatic deadlock approved to BS3621 or a key operated multi point locking system using either mushroom headed bolts, shoot bolts, hook bolts or a long through system.
Do your windows have a key operated window lock or a key operated locking handle or key operated security bolt or key lockable multi point locking system or the manufactures standard window locking mechanism.
Is the home fitted with a burglar alarm, which is also covered by an annual maintenance contract?
How many years have you been claim free for home insurance?

Claims
Have you or any one living with you made any claims, sustained any loss, damage or liability during the last five years whether insured or not.
  Cause Amount () Claim Occurrence Date
Claim 1        
Claim 2
Claim 3
 
Additional Claim
Information
 


Your unique quote reference is 1929165540146

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