Landlords Insurance Application

Policyholder Personal Info

Are you a Politically Exposed Person?: Politically Exposed Person: Someone with a prominent position in life which gives them the power to make or influence major decisions.
For example a Politician (i.e. MHK) or a chief executive of a large organisation (i.e. chief executive of a large bank).
Title:
Forenames:
Surname:
Date of Birth:: You must be 21 or over
Place of Birth:
When did you become an IOM/UK resident:
Company Name:
Contact Tel Number(s):
Email Address:: If you provide a contact email address we will email you confirmation when you submit this form
Occupation:
Employers Business Type:
Correspondence Address:
Post Code:
How did you hear about us:

Your Property

Full Risk Address:
Postcode:
Type of property:
Number of bedrooms:
Number of self contained flats:
Is the property fully tenanted?
If no, when will it be?
Approximate age of the property:
Approximate purchase date of the property:
Is the property/flats self contained & rented on a single tenure basis?
Is the property in a good state of repair and will it be maintained so?
Is the property within 500 metres of the sea, watercourse or river?
Has the property ever been flooded?
Is the property in an area liable to flooding?
Is the property of standard construction: built of brick, stone or concrete with slate, tile, concrete, metal or asbestos roof?
Is the property timber framed construction?
Has the property suffered any subsidence problems?
Is the property in an area susceptible to subsidence?

Insured amounts

Buildings re-building sum insured:
Landlords contents sum insured:: minimum sum insured £1,000
Communal contents (Blocks of flats only) sum insured:: minimum sum insured £1,000

Details of the Lets

Are the lets – full-time lets with at least 6 months lease agreement?
Are the tenant’s professional lets?
Are the tenants – DHSS paid, Students or Asylum seekers, if yes please call us?

Details of any claims

Any claims in the last 5 years?
Previous claims details:: Please include the type fo claim, date and amount paid.

Legal Agreements

You understand and agree to the information being submitted:: You must confirm that you have understood and agree to the information supplied on this form.
You accept our Terms of Business and Privacy Notice: Please read our Terms of Business and Privacy Notice and Data Policy
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ManxCover Landlords Insurance Application