Buildings Insurance

Direct debit mandate

Please check the following

I confirm that the details provided within the statement of insurance are correct.

I confirm I have checked the Insurance Product Information Document and policy wording and confirm that the cover offered meets their demands and needs.

I am the account holder to be debited.

No other signature apart from my own is required to authorise the setting up of Direct Debits on this account.

Please note that there are a number of endorsements that will apply to your policy. These special conditions vary the policy and will be shown on your schedule.

Unoccupancy Warranty

If the Property specified in the Schedule is left unoccupied for 30 consecutive days or more:

1. The Building must be inspected at least once every 14 days by You or Your representative and a detailed record retained for our inspection on request, showing dates visited, who attended and observations made.

2. The gas and water supplies must be turned off and the water system drained.

3. The electricity supply must be turned off unless required to maintain a security system.

4. All letter boxes and other openings must be sealed securely if the unoccupancy is for a period of 30 days or more.

5. External doors must be secured with a 5 lever mortise deadlock conforming to BS3621, a rim automatic deadlock or a multipoint locking system. These must be fitted and in use at all times

I/We meet all of the following eligibility criteria;

The property to be insured

The property

You