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Who We Are
Our Chartered Status
Working at Cowens
Name(s) of Policyholders(s)
First Policy Holder Date of Birth
Second Policy Holder Date of Birth
Contact Telephone Number(s)
RENEWAL OR PREFERRED QUOTATION DATE *
* To give you plenty of time we will contact you 3-4 weeks before this date.
Risk Address & Post Code
Type of Property
Cost to Rebuild
(If in doubt, the market value may give an approximate idea. Although often higher than needed as it includes the value of the land)
Does the property have area(s) of flat roof?
what percentage of the total roof is flat?
Is the property a listed building?
Number of Bedrooms
Number of bathrooms/shower rooms/ensuites?
Has there been a history of, or are there any signs of subsidence/landslip/heave?
Is the property in an area which has suffered flooding (within 400m)?
Does your property have French doors or Patio doors?
What is the total replacement value of your contents as new?
To cover personal belongings taken away from home, what is the maximum amount taken out by you and your household at any one time?
Approximately how long have you been claims free?
Is there any other information you would like to give us?
Are you happy to receive marketing communications from Cowens?