Home Insurance Quotation Quotation Details Loading Please Wait.. Personal Information Select Title Mr Mrs Ms Gender: Male Female Area Occupation Property Details Property Type Flat Maisonette Terraced House Villa Detached Villa Garage Type None Interconnecting Street Level Basement Semi Basement Residence left unattended for more than 90 days? : Yes No Is the Residence Habitable? : Yes No Buildings Would you like to insure your Buildings? : Yes No Enter Rebuilding Value : € Would you like to insure your Garage? : Yes No Enter Rebuilding Value : € Do you require Accidental Damage? : Yes No Contents Would you like to insure your Contents? : Yes No Category Sum Insured 1. Electronic eqipment (TV, PC, DVD players, surround system etc.) € 2. Jewellery and watches € 3. Clocks and articles of precious metal (other than jewellery) € 4. Pictures, works of art, curios and collections € 5. Photographic equipment € 6. All other contents (furniture, carpets, curtains etc.) € Total € Are your high risk items above (Category 1-5): Individually of greater value than €2,000? Yes No Please list below the value and description of items exceeding €2,000 Do you require Accidental Damage? : Yes No Discounts Applicable: 10% Vehicle Discount: Five year long term agreement: Senior Discount: Only Clients over 60 are eligible. Insurance History Have you been previously insured? Yes No Have you made a claim in the last 5 years? Yes No Have you or any member of your family permanently residing with you, ever been convicted of any offence involving actual or threatened damage to or loss of property or dishonesty of any kind? Yes No Terms and Conditions This quotation is valid for one month from the date of issue. Please refer to the latest Home Insurance Policy Document (Ref : EIL.HMPW007/06.23 ) for the new Data Protection Notice and the full terms/conditions of this policy. This may be downloaded from here or you may request a copy. Elmo Insurance reserves the rights to withdraw this quotation if any details which you have provided are not accurate or new information is made available to Elmo Insurance which increases the Risk. Select Product/s for Quote Confirm Quotation ITEM VALUE PREMIUM STAMP DUTY POLICY FEE € 5.00 TOTAL Marketing CommunicationWe would like to use your details to send you information about our products. In order to do so, we require your consent. You may provide us with your consent by indicating your preferences below: I hereby authorise Elmo Insurance Limited to use my details for marketing purposes as explained above I would not like to receive marketing communication from Elmo Insurance Limited If you do not provide us with your consent, this will not affect the provision or quality of any other service which we provide you with. You have the right to withdraw your consent at any time by sending an email to info@elmoinsurance.com. If you do so, we will stop sending you marketing communication. The withdrawal of your consent to the use by Elmo Insurance Limited of your details for marketing purposes will not affect our processing of your personal data for purposes relating to your insurance contract as described in our Data Protection Notice. I declare that I have read and understood the terms & conditions and that all information provided in this Home Insurance proposal form is true and complete. Success!
