Household Insurance Form
When considering insurance – make sure that you are insured the Right Way
Your Name
Telephone
Email address
Post code of property
Town
Nº of residents
Size (sq. m)
Year construction
Year renovated
Type of property
Detached
Apartment (Attic or Penthouse)
Apartment (Ground floor)
Apartment (not ground/top floor)
House (Semi-detached/townhouse)
Construction type
Solid none combustible materials (Brick, Concrete, Stone etc.)
Other (please specify below)
(Other construction)
Location
City/Town >25,000 inhabitants
Town/Village < 25,000 inhabitants
Isolated Property
Status
Owner-Main home
Owner-2nd home personal use
Owner-2nd home rented out
Tennant
Occupancy
Unnoccupied > 270 days
Unnoccupied 181-270 days
Unnoccupied 121-180 days
Unnoccupied 91-120 days
Unnoccupied 31-90 days
Weekend use only
Security (select)
Reinforced door
Solid door
Metal bars on doors and windows
Security locks
Alarm
(not connected to police or security company)
Alarm
(connected to police or security company)
Security blinds
Security glass windows
Boundary walls
Safe
Other
(please specify)
Buildings
Sums insured (Euros):
Click
here
for assistance on Sums Insured
Full Cover or 1st Loss
Full Cover
First Loss
Name other interested party
Click
here
for assistance on Full Cover / 1st Loss
Household Contents
Value (basic Euros)
Standard / Accidental Damage (Euros)
Valuables ( Euros) *
*
defined as works of art, jewelerry or antiques
Rightway Insurance & Finance SL, CC Las Postas, Local 9,
Sitio de Calahonda, 29649 Mijas Costa, Málaga. Tel: (+34) 952 934 963 Fax: (+34) 952 939 097
Email:
info@rightwaysl.com