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Online Home Contents Insurance Form

(Joint tenants and co-habitees must be named)

If you require any of the additional covers below (at extra cost) please tick the appropriate box and specify the amount of cover you require. It is important that the sum insured chosen (in round sums of £1000) is sufficient to cover the full replacement cost of all your household goods and personal effects.


1. I/We agree to advise the Company if any of the answers given above should change. 2. I/We declare that all questions have been fully completed and the answers are true and correct to the best of my/our knowledge and belief. Failure to answer truthfully and completely may mean that your policy becomes invalid or does not operate in the event of a claim. If you are in any doubt please contact Stockport Homes, Customer Finance (Home Contents Insurance), Stockport Homes Group, Cornerstone, 2 Edward Street, Stockport, SK1 3NQ. 3. I/We declare that we understand the contents of this completed application including the important information for applicants at the start of this form. 4. I/We declare that Allianz Insurance plc may contact my/our present insurer for further information. 5. I/We undertake to pay the premium when called upon to do so. 6. I/We understand that any incident we give details of in this application may be checked against the Claims and Underwriting Exchange database. The aim is to help check the information provided and also to prevent fraudulent claims. When you tell us of an incident that occurs in the future, we will pass information relating to this to the database. Special Note If during the period of your insurance cover, your home is likely to be unoccupied (e.g. through hospitalisation, extended holiday) for more than 60 days in a row you must contact the Company to establish whether cover can continue.

Joint tenants should both sign unless they are married to each other
Joint tenants should both sign unless they are married to each other
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Page last reviewed 06/06/2018