Quote4Insurance
Nursing / Care Home Insurance
Section 1 - Personal Details
First Names
Surname
Address
Town
City
County
Postcode
Telephone
Email
Renewal Date or Start
Method of Payment
Existing Insurer
Renewal Premium
Section 2 - Nursing / Care Home Details
Type of Home
Nature of Residents
Are the premises occupied by staff & residents 24 a day
Yes
No
-- Select --
Category of Registration
Number of Residents
Is the building purpose or conversation
Block
Conversation
Sum Insured on building
Age of Building
Sum Insured on contents
Loss of Registration
Consequential Loss
Engineering
Other
Legal Liability - PL/EL
Type of Cover
Standard
Accidental Damage
Subsidence
-- Select Type Of Cover --
Any Claims in the past - date, amount and nature of claim
How did you hear of
Quote4insurance
?
e.g. Name of magazine/newspaper you saw our advert in, T.V., radio, Teletext,diverted from other site = please name site / search engine, internet advert etc.