Ryburne Brokers Independent Insurnace Brokers Ryburne Brokers Independent Insurnace Brokers
Ryburne Brokers Independent Insurnace Brokers Ryburne Brokers Independent Insurnace Brokers
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Household Insurance Quote

Ryburne Brokers & Co., 28 Market Street, Hebden Bridge, West Yorkshire, HX7 6AA

You can obtain a home insurance quote by fully completing the form below. One of our representatives will reply within 24 hours.

If you prefer you can print out the form and fill it in manually. You will then need to email it to insurance@ryburne.co.uk or post it to the address at the top of this page. Click here to access the Enquiry Form.

Household Insurance Enquiry
Where did you hear about us?
Other (please specify the individual who referred us or name of firm)
   
Personal Details  
Title
Correspondence Address  
Address Line 1
Address Line 2
Address Line 3
Address Line 4
Postcode
Risk Address (If Different)  
Risk Address Line 1
Risk Address Line 2
Risk Address Line 3
Risk Address Line 4
Risk Address Postcode
Occupational Details  
Full-time occupation
Part-time occupation
Employer's business
   
Claims History

Have you, any member of your family or anyone living with you made a claim in the last 3 years or had a claim made against you or them?

If YES please provide below -
 
Date of claim
Type of claim (eg fire, theft)
Amount of claim
Insurer

If you or anybody who will live at the premises has a criminal conviction or a history of bankruptcy, please give details

   
Details of Cover Required
What date do you require cover from? (please note that cover is not in force until you have accepted our quotation and paid the premium or submitted a direct debit instruction)
   
Is the house -
What year was the home built?
Please state the total number of bedrooms
   

Is the home that you want to insure built of brick, stone or concrete with slate, tile, asphalt, metal or concrete roof? Yes / No

If no to the above, please give details here
Do you want building insurance? Yes / No
If not please go to CONTENTS INSURANCE
 
BUILDING INSURANCE

Has the home you want insured ever been damaged by flood, subsidence, heave or landslip and/or do you know of any history of these in the area?
For details of flood areas visit: www.environment-agency.gov.uk/subjects/flood/

If yes to the above, please give details
Enter the amount to be insured
(NB you should ensure that the sum is sufficient to REBUILD your home including debris removal and architect fees 0,000,000) This figure may be on your mortgage insurer, or you can use an on-line calculator from the ABI: http://abi.bcis.co.uk/

Please select the cover that you want -

CONTENTS INSURANCE

Do you want contents insurance? if NO you are ready to submit the form and can skip to the end of the form.

Select the amount that you would like insured

Does the total replacement cost of all valuables exceed a third of the value of your general contents?

If YES give details here:
Which of the following cover do you require?  

 

PERSONAL POSSESSIONS (only available with contents cover)  

This section covers articles which you take out of your home in everyday life. There are two parts to this section and you may select one or both.

UNSPECIFIED ITEMS
The amount insured shoud represent the maximum value of all property you are likely to have away from home at any one time. Items worth more than 1,500 and pedal cycles worth more than 750 should be listed under specified items below.

Amout to be insured for unspecified items Min 2,000 max 8,000
SPECIFIED ITEMS
Please provide details of pedal cycles over 750 and personal possessions over 1,500. You may be required (when completing the transaction) to provide recent valuations for these items.
Specified Item 1
Replacement Value 1
Specified Item 2
Replacement Value 2
Specified Item 3
Replacement Value 3
Specified Item 4
Replacement Value 4
Please give details of any special requirements such as business equipment, computers etc