Company name (or full name) *
Correspondence address *
Telephone number *
Email address *
Year you began renting the property out
Any bankruptcy or CCJs in past 5 years? *
Please select
No
Yes
If yes, please provide details
Full address of the property *
Approximate year of build
Year you purchased the property
Your date of birth
How many bedrooms?
Select...
1
2
3
4
5
6
7
8
9
10+
Type of property? *
Select...
Semi-detached
Terraced
End-terrace
Detached
Bungalow
Commercial
Purpose built flat
Converted flat
Other
Is it a listed property? *
Select...
No
Grade I
Grade II
Grade II*
Unsure
Is the property of non-standard construction? *
Non-standard = walls not brick/stone/concrete or roof not slate/tile/concrete.
Select...
No – standard construction
Yes – partially non-standard
Yes – fully non-standard
Unsure
Please provide construction details
Any flat roof? *
Select...
No
Yes
Approx % flat roof
Select...
Up to 25%
26–50%
51–75%
76–100%
Any history of flooding? *
Select...
No
Yes
Any history of subsidence? *
Select...
No
Yes
Any claims in the last 5 years? *
Select...
No
Yes
If yes, provide details
How many floors? *
How is it heated? *
Select...
Gas central heating
Electric heating
Portable heaters
Oil heating
Hot air heating
Wood burner / solid fuel
Other
Letting type *
Select...
Landlord – long-term tenancy
Short let / holiday let
Owner occupied
Other
If landlord, tenant type
Select...
Working
DSS / benefits
Asylum seekers
Student
Mixed
Any further information?