We, Arthur J. Gallagher Insurance Brokers are the data controller of any personal information you provide to us or personal information that has been provided to us by a third party. We collect and process information about you in order to arrange insurance policies and to process claims. Your information is also used for business purposes such as fraud prevention and detection and financial management. This may involve sharing your information with third parties such as insurers, reinsurers, other brokers, claims handlers, loss adjusters, credit reference agencies, service providers, professional advisors, our regulators, police and government agencies or fraud prevention agencies.
We may record telephone calls to help us monitor and improve the service we provide. For further information on how your information is used and your rights in relation to your information please see our privacy notice. If you are providing personal data of another individual to us, you must tell them you are providing their information to us and show them a copy of this notice.
Please answer everything accurately before continuing
Before you begin your quote, please confirm that you agree with the following statements on behalf of you, any Director, Employee or Representative:
Please enter the postcode of the property you wish to insure and click 'Find Address'. This will provide a list of addresses for you to choose from.
House name (if applicable):
What type of property is it?
How many units would you like to insure?
What is the property mainly built with?
What is the roof mainly built with?
Is any part of the roof flat?
What is the construction of flat roof?
Please tell us approximately how much of the roof construction is flat?
Has the flat roof been renewed in the last 10 years?
How many years have you been operating a holiday let?
What year was the property built?
Is the property a listed building?
What is the listed building grade?
How far from the property is the nearest whole time fire station?
Do you live on site?
Is the property fitted with Frost Stats to the heating system, or is there a Leak Detection device fitted?
Is there a Biomass boiler at the property?
Leisure facilities you have at the property:
Do the grounds include any waterways such as lakes, rivers or ponds?
Please provide as much detail as possible.
Has the property ever suffered from flooding?
Has the property (or neighbouring properties) ever been subject to damage caused by landslip, heave or subsidence? Or has the property ever been underpinned?
Is the property situated on made up ground, underground workings or near a cliff, quarry, mineral extraction pit, mine, cave or tip?
Please tell us your business type:
Is the property available for holiday letting all year round?
Apart from holiday letting, is any other trade carried out in any of the buildings?
Are you accredited by Visit England, Visit Wales, Visit Scotland or similar body?
Do you have a written Health & Safety Policy?
What type of cover do you require?
What level of buildings cover do you require?
What level of contents cover do you require?
What level of Public and Products Liability do you require?
What level of Business Interruption cover do you require?
Please specify the indemnity period required:
When would you like the cover to start?
In respect of any of the sections of insurance cover provided by the Cottagesure policy, have you had any previous incidents or claims over the past five years, whether paid or not?
Please provide as much detail as possible, especially Date(s), Claim Type(s) & Amount(s).
Do you require cover for Terrorism? (cover is available at an additional premium)
Is the policy to be held by a Limited Company?
Name of Limited Company:
Date of Birth:
Is there a second policy holder?
Second policyholder's details:
Second policyholder's title:
Second policyholder's first name:
Second policyholder's surname:
Second policyholder's date of birth:
Second policyholder's main occupation:
Please enter the postcode of your correspondence address and click 'Find Address'. This will provide a list of addresses from you to choose from.
Contact telephone number:
How did you hear about us?
Please let us know from where you heard about us.
We'd like to tell you about our products or services that may interest you. Please tick if you would like to hear about these by:
We or our group companies may also send you details of the products and services of our group companies.Please tick if you would like to hear about these:
You can opt out of marketing communications at any time by contacting us.
Arthur J. Gallagher Insurance Brokers Limited is authorised and regulated by the Financial Conduct Authority. Registered Office: Spectrum Building, 7th Floor, 55 Blythswood Street, Glasgow, G2 7AT. Registered in Scotland. Company Number: SC108909. www.ajg.com/uk