Form - UPI forms

Please ensure that the information you provide is accurate and all of the statements below are correct.

The property is constructed of brick/stone/concrete/flint walls.

The property has a tile or slate roof with less than 40% of the total roof area being flat.

No works, refurbishment or renovations are planned during the policy year that exceed £50,000 when undertaken by an independent contractor or £10,000 when undertaken by anyone other than an independent contractor.

If the property is a flat, there are fewer than 12 flats in the block.

None of the windows or doors are boarded/bricked up.

The property is in a good state of repair.

The property is in a condition in which it could be lived in as a home. E.g. has cooking facilities, a bathroom, electricity etc.

The property is not underpinned and does not show signs of subsidence, landslip or heave (e.g. cracking or bulging of the walls).

The property has never been subject to a survey which mentions settlement or movement to the buildings.

The property is not divided into bedsits I.e. a bedroom with its own cooking facilities.

The property is not within 400m of a well/quarry/cliff or other excavation (including mining etc.).

I am not aware of any previous flood damage at this property.

The property to be insured is a residential property that has never been used for commercial purposes.

The property is inspected by the insured or the insured’s representative at least once every 30 days both internally and externally, with written records kept.

No part of the property, including any outbuildings, is used for business purposes.

The proposer or any other person residing in the property has never been convicted of a criminal offence (including pending prosecutions) other than motoring offences. Note: There is no requirement to disclose convictions that are deemed as ‘spent’ under the Rehabilitation of Offenders Act 1974.

The proposer or any other person residing in the property has never been declared bankrupt, been the subject of bankruptcy proceedings or have any outstanding CCJ’s.

The proposer or any other person to whom this insurance would apply has not had any insurance avoided or been issued with a cancellation notice.
Are these statements corrects?*
- Not all these statements are correct
- All these statements are correct

Period of cover*
- Annual
- 3 Months
- 6 Months
- 9 Months
Please note: Insurance cover cannot be backdated. Please use the date picker below to select today’s date or a date in the future.
Inception Day*
Date Format: YYYY dot MM dot DD
Property Type*
Number of bedrooms:*
Year of Build*
Address of Property*
Street Address Address Line 2 City ZIP / Postal Code Country
What would you like to insure?:*
- Buildings Only
- Buildings & Content
Contents amount
Voluntary excess*
Voluntary excess
Buildings Cover
Building sum insured £:*
Number of years insured claims free:*
Is the building listed?:*
How many years (if any) has the property been unoccupied?*
Please enter a number from 0 to 20.
Has the proposer(s) or any person residing in the property to be insured hereunder sustained any loss or damage in the last five years which would be covered by this type of insurance?:*
- Yes
- No

Unoccupied Property Insurance - Quotation and Proposal form

Buildings Cover