TIS: Static & Wooden House Insurance - On-line Application Form

Full Name
NIE Nº. or PASSPORT Nº
Email
Tel./Mob. Number(s)
Address
Post Code
Date of Birth Date of Birth / DD / MM YYYY
Profession
Type of Property

Type of Property Static Home Wooden Home
Year Built
Policy Start Date Policy Start Date / DD / MM YYYY
Description of Property e.g. Make & Model
Size in sq meters of house (all floors)
Size in sq meters of patio/terrace areas
How Many Years Owned
Cover Required

Cover Required Buildings & Contents Contents Only Buildings Only
With or Without EXCESS?
Fire
Vandalism
Water
Robbery
Bad Weather
Glass
Electrical Damage
Frozen Goods
Loss of Rent
Garden Damage (trees)
Use of Property

Use of Property Owned - Habitual Home Owned - Second Property Owned - Rented out Rented - Habitual Home
Do you run a business from the house?
Description of Business
Buildings Insured Value

Buildings Insured Value 50,000 60,000 75,000 100,000 Other Other
Value of Contents

Value of Contents 15,000 20,000 25,000 30,000 Other Other
Value of any Jewellery cover
Public Liability
(Automatically included on all policies)

Public Liability
(Automatically included on all policies) 1,000,000
Is ACCIDENTAL DAMAGE cover required
Do you have SOLAR PANELS
SECURITY MEASURES
Is there an ALARM
Is Community Gated
STATIC HOMES - Is the home anchored at all 4 corners?
Is the property near a beach? (500 meters or less)
WOODEN HOMES - Type of wood used?

Fire Blanket & 2 Fire Extinguishers Required
WOODEN HOMES - Is there a coating on the outside?
Are there secure Locks on all windows & doors?
Other Security e.g. Security Guard or patrols
CLAIMS HISTORY - please provide details of any claims made in the last 5 years.
Please indicate your preferred Payment Method

Please indicate your preferred Payment Method Direct Debit (from Bank) Card (Credit or Debit) Cash in the Office Bank Transfer
What language do you want the policy in?
Upload 4 pictures - ideally taken from each corner

Attach Files
Please note that the application can take up to 48 hours to be completed.
Any Comments, Questions or Suggestions :
Data Protection/Ley de Protección de Datos

Data Protection/Ley de Protección de Datos I agree to the sending and retention of this personal data in compliance with The Data Protection Act. / Estoy de acuerdo con el envío y la retención de estos datos personales de acuerdo con la Ley de Protección de Datos.
Type the letters you see in the image below.

TIS: Static & Wooden House Insurance - On-line Application Form

TIS: Static & Wooden House Insurance - On-line Application Form

SECURITY MEASURES