House Insurance for Ex-Offenders

INSURABLE :: Insurance Solutions for Ex-Offenders

House Insurance Quote

Where did you hear about us?
If other please specify:
PLEASE NOTE *** We cannot offer terms for convictions of a sexual nature involving minors *** (including illegal download/possession of indecent images)
About you
Sex
Title
First Name
Surname
Date of Birth
Marital Status
Occupation
Type of business
Is policy to be in joint names?
Joint Policyholder (if required)
Sex
Title
First Name
Surname
Date of Birth
Marital Status
Occupation
Type of business
Address/Contact
House Name / Number
Full Address
Postcode
Email Address
Telephone Number
About your convictions	(please list 1,2,3 in each section if you have more than 1 conviction)
Name of Convicted Person (If convicted person is not one of the policyholders detailed above - please also list their Date of Birth & Occupation.)
Date of Offence
Date of Conviction
Type of Conviction (e.g GBH, Common Assault)
Sentence given by court (e.g. 5 years custodial or 100 hrs community service)
Sentence actually served (e.g. served 2 years then 3 months on tag)
Description of Incident (Please give as much information as possible)
Mitigating Circumstance (e.g. had drink problem at time now recovering alcoholic etc.)
Property Details
Property type
No. of Bedrooms
Wall Construction
Roof Construction
Year built
Listed Building
Is the property in an area with a history of floods or within 400m of the nearest water course??
Ownership Years Property Owned?
No. of Adults at Property
No. of Children
Are you the main sole occupants?
Any paying guests?
BASIC SECURITY REQUIREMENTS I The security requirements below are NOT mandatory However some postcodes / areas will require this basic security
Windows, fanlights and rooflights All windows, fanlights and rooflights that can be accessed without the use of a ladder, and that can be opened, should be fitted with key-operated window locks. Final exit door (main entrance door) Should be fitted with a mortice deadlock of at least five levers or rim deadlock conforming to British Standard BS 3621. If Aluminium/UPVC construction then fitted with a multi-point locking system which incorporates a lever or cylinder deadlock, capable of being secured by a key from both sides. Other single external doors (includes access door) Should be fitted with either: a mortice deadlock of at least five levers conforming to BS 3621 or rim deadlock conforming to BS 3621 or key-operated lock with bolt top and bottom for solid doors, bolts should be at least 10 inches in length for glass-panelled doors, key-operated mortice rack bolts should be fitted for Aluminium/UPVC construction then fitted with a multi-point locking system which incorporates a lever or cylinder deadlock, capable of being secured by a key from both sides. Patio doors Should be fitted with either a key-operated patio door lock at the top and bottom of each sliding door in addition to the manufacturer's integral lock or a multi-point locking system which incorporates a lever or cylinder deadlock, capable of being secured by a key from both sides. Double doors (french doors or windows) Should be fitted with key-operated locks and key-operated mortice rack bolts at the top and bottom of both leaves. To View images of locks detailed above please CLICK HERE
Does the property meet the our basic security requirements above?
If you cannot meet the basic security please give details.
Buildings Cover
Is Buildings Insurance required?
Cost to rebuild property / Sum insured
Is Accidental Damage cover required
How many years no claims on previous buildings insurance?
Contents Cover
Is contents cover required?
Total Sum Insured
Is Accidental Damage required?
Do you require cover for personal belongings outside the home?
If so, sum insured outside the home
How many years no claims bonus on previous contents cover?
Has your current insurer declined to renew or cancelled your policy? If so, please give details
Please list any valuables over £1,500 (Jewellery, furs, antiques, works of art etc.)

General Questions
Please give FULL details of any claims made on either Buildings or Contents insurance within the last 5 Years

Date Cover to commence
Current renewal premium, if applicable
Current Insurer, if applicable
Additional Information
Please add any information you feel may affect the quotation.

‘Insurable’ is a trading name of Gothic Insurance Brokers Ltd who are are authorised & regulated by the Financial Services Authority, Firm Number 300031
Registered Trading address : Gothic House, Station Road, Old Harlow, Essex, CM17 0AP

Windows, fanlights and rooflights

Final exit door (main entrance door)

Other single external doors (includes access door)

Patio doors

Double doors (french doors or windows)