House Insurance Quote

Quote Form

Please take 50 seconds to complete the following form to receive a tailored quotation for your house insurance.

Required fields are marked with *

Your Details

  • First Name *
  • Surname *
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  • Date of Birth *
  • Telephone *
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  • Occupation *
  • Mobile *
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  • E-mail *
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Property Details

  • Property Type *
  • Address *
  •  
  • Your Property Is *
  •  
  • Year Built *
  • Town / City *
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  • Years at Current Address
  • County *
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  • Number of Bedrooms *
  • Heating System in Place:*
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  • Buildings Cover Amount (€) *
  • Service Provider:*
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  • Contents Cover Amount (€) *
  • Burglar Alarm:*
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  • Key operated locks on accessible windows
  • 3 or 5 lever mortice deadlocks on external doors
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  • Flat Roof on Property?
  • Minimum of 2 smoke detectors
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  • Is property Timber Framed

Current Insurance Details (If Any)

  • Name of Current Insurance Company *
  • How many Years Claims Free do you have ? *
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  • Current Premium
  • Any Claims/Losses in the past 6 Years ? *
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  • Renewal Date *
  • How long are you insured on this property?
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Details of Claims (If Any)

  • Claim 1

  • Date
  • Type
  •  
  • Amount (€)
  •  
  •  
  • Claim 2

  • Date
  • Type
  •  
  • Amount (€)
  •  
  •  
  • Claim 3

  • Date
  • Type
  •  
  • Amount (€)
  •  
  •  
  • Claim 4

  • Date
  • Type
  •  
  • Amount (€)
  •  
  •  

Other Details

  • Motor Insurance Renewal Date?
  • Which Credit Union Are You Associated With*
  • Where Did You Hear About CUsafe?

Leaving so soon?

Please leave us your Name and Phone Number and we will call you to discuss your requirements?