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CIDRA Disclosure Obligations – Consumers

You must take reasonable care to provide complete and accurate answers to the questions we ask when you take out, make changes to, and renew your policy.

You should be aware that if the information provided by you is not complete and accurate, we may:

cancel your policy and refuse to pay any claim, or
not pay any claim in full, or
revise the premium and/or change any excess, or
revise the extent of cover or terms of this insurance.

We recommend that you keep a record (including copies of letters) of all the information you provide to us for your future reference.

Definition of customer: any natural person who is acting for purposes which are outside his trade or profession.

Property Unoccupied Reason

Please confirm if the property is unoccupied either due to the death of the property owner or if the owner is in a nursing home/hospital? Yes No

Personal Details

Title

First Name

Last Name

Email address you would like the quote sending to

We will never under any circumstances give your email address or details to any third party

How did you hear about us?

Cover Details

Search for address or postcode

Postcode of property to be insured /

Address Line 1 *

Address Line 2

City

Approx. year of construction

More details

What type of heating is in the property?

Number of bedrooms

For properties with more than seven bedrooms, please visit www.vasek.co.uk

Please select the type of property – if not shown exactly, please select closest match

More details

Buildings Sum Insured

£1,000,000 cover is provided as standard, including Accidental Damage Cover

If you require a higher sum insured, please visit www.vasek.co.uk

Contents Sum Insured

£10,000 cover is provided as standard when the Buildings are insured, including Accidental Damage Cover

If you require Contents only cover, please visit www.vasek.co.uk

Contents Sum Insured

£10,000 cover is provided as standard when the Buildings are insured, including Accidental Damage cover

Do you wish to insure a higher amount? Yes No

Important Notice
The information you have provided in this submission contains statements upon which we will rely when deciding whether to accept this insurance and the terms on which it may be offered, including the amount of premium payable.

It is very important that the information is complete and accurate. If you are in any doubt at all regarding any of the answers given, you should ask us or your insurance broker.

If any of the information provided by you changes after you purchase your policy or during the period of your policy you must immediately provide us with details of the changes.

We act on a ‘non-advised’ basis which means that we will offer you information about the significant features, benefits, limitations and exclusions of a particular insurance policy(ies), but it is for you to decide by assessing the features, benefits and conditions which of these best suits your requirements. When acting on a ‘non-advised’ basis, we act as Agent of the Insurer (that is to say, we represent the insurer).

This insurance policy is underwritten by HCC International Insurance Company plc (HCCII) trading as Tokio Marine HCC are authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority.

Declaration
To the best of my/our knowledge and belief all statements and information provided in connection with this insurance, either orally, electronically or in writing, are true. I/we understand that non-disclosure or misrepresentation of any of the answers given may entitle underwriters to:-

cancel my/our policy and refuse to pay any claim, or
not pay any claim in full, or
revise the premium and/or change any excess, or
revise the extent of cover or terms of the insurance.

I agree*

For information on how we use your personal data please refer to our UK Privacy Notice

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CIDRA Disclosure Obligations – Consumers

Property Unoccupied Reason

Personal Details

Correspondence Name

Cover Details