For a Thatched Home Insurance, or Listed Home Insurance quotation, please complete the following form and a member of staff will contact you with a quote. Please note that all quotations provided are subject to the completion of a satisfactory application form.

For more information regarding our policies please click here and for Terms of Business please click here.

Title*:
Forename*:
Surname*:
Email*:
Address*:
Town*:
County*:
Postcode*:
Tel (Home)*:
Tel (Work)
Date of Birth*:
Occupation:
Renewal Date*:
Renewal Premium:	£
Current Excess:	£
Current Insurer/Broker*:
What prompted you to visit our site?*	Please Select... Mailshot Personal Quote Letter Google Internet Other Recommendation
Property Use*:	Please Select... Main Residence Second Home Let
Property type:	Please Select... detached semi detached end terrace mid terrace
Date property built*:
Is the property listed?	Yes No
If Yes, what grade?:	Please Select... 1 2* 2
Construction*:	Please Select... Brick - Block - Stone Wattle and Daub Cob Clunch Lathe and Plaster Timber Clad Other
Is the construction of the property more than 50% timber?*	Yes No
Do you have 5 lever mortice deadlocks on all external doors?*	Yes No
Are there key operated locks on all accessible windows?*	Yes No
Do you have an alarm?*	Yes No
If yes, what is the signal method?	Bells only Central Station
Is the alarm maintained?	Yes No
Do you have smoke detectors?*	Yes No
Is there a safe in the property?	Yes No
Are you in a neighbourhood watch area?	Yes No
Roof Construction*:	Please Select... Slate - Tile Thatch Metal
Have you had any claims in the last 5 years?*	Yes No
If yes, details:
Any history of flood, subsidence, heave or landslip?*	Flood Subsidence Heave Landslip None of the above
If yes, details:
Is your home within 400 metres of a riverbank, lake, seafront, cliff, watercourse, quarry or any other excavation?*	Yes No
Buildings Sum Insured*:	£
Contents Sum Insured:	£
Possessions Sum Insured:	£(single articles over £1500)

Type of roofing material used*:	Please Select... Water Reed/Norfolk Reed Combed Wheat/Devon Reed Long Straw Fibre Thatch Other
Depth of Thatch*:	Please Select... Less than 1m 1m - 2m Over 2m
How are the chimney(s) utilised*:	Central Heating Open Fires Woodburning/Solid Fuel Stoves Gas/Electric Appliance Chimney Blocked (Select all that apply)
Has the chimney been professionally swept in the last 12 months?* Yes No
Has the chimney been professionally lined and insulated to the*:	Woodburning/Solid Fuel Stoves Open Fire None of Above (Select all that apply)
What height is the chimney above the ridge?*	Please Select... Less than 1m 1m - 1.8m Over 1.8m
Do you have spark arrestors?* Yes No
Are open fires or woodburning/solid fuel stoves used?* Yes No
How far is the nearest Fire Brigade?*	Please Select... Less than 5 miles Between 5 and 10 miles Over 10 miles
Has the electrical wiring been subject to a periodic inspection report by a suitably qualified electrician within the last 10 years?* Yes No
Do you have a fire alarm linked to an external, third party monitoring station?* Yes No
Does the property have a 60 minute Fire barrier/Thatchbatts?* Yes No
Has the chimney(s) and/or Liner(s) been inspected by a qualified engineer in the last three years? Yes No

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