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Proposal Form - High Value Homes
Please enter the required details and click submit to save.
All boxes marked * are required.
Date of Birth
Who is the existing Insurer?
What is the existing premium?
Does the property have 5LMD's and KOWL?
Is the property protected by an alarm?
Is there a safe at the property?
Are the premises of standard construction and free from flood, subsidence, landslip or heave?
Is the main residence occupied daily?
Is the main residence used for business purposes?
Is the property likely to be refurbished within the next 3 years?
Is the Insured in good health and not received any medical treatment within the last 12 months?
Have there been any claims within the last 6 years including travel?
Have any terms been applied by the existing insurer?
If you have ticked any of the grey boxes please give details
(Including personal possessions but excluding jewellery)
Outdoor Items (€2,500 free)
Pictures, paintings, sketches, prints
Statutes, sculptures - non fragile
Items of a brittle or fragile nature
Clock and other mechanisms
Gold, silver and other precious metals
Jewellery and watches - specified
(Provide details of all items over €5,000)
Jewellery and watches - unspecified
Jewellery in bank
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I have read and agree to Brennan Insurances Terms and conditions.
Click here to download our Terms of Business document.
Fees and Charges
Terms and Conditions
Capital Cover Group Ltd t/a Brennan Insurances is regulated by the Central Bank of Ireland