Silverline Insurance Services Spain

Full Name: *
Date of Birth: *
Address: *
Province: *
Post Code: *
Telephone:
Email: *
Nationality: *
NIE/Passport No: *
Where did you hear about us?:
Details of Property to be Insured:
Address (if different from above):
Permanent Home: *
Type: *
Built of non-combustable solid material: *
Age of Property:
What is the build area of the property in m2:
Does the main door to the property have a 5 lever mortice deadlock or Spanish equivalent fitted?: *
Are all sliding patio doors fitted with locking bolts, top and bottom?: *
Are all accessible windows fitted with either window locks, rejas, grills or lockable shutters?: *
Do you have an alarm fitted?: *
Is it a bell only alarm or linked to monitoring station?:
Is there any other security at the property? *
If so what?:
Are you the owner of the property?: *
If yes, do you occupy the property or rent it out?:
Sums Insured - Please enter Sums Assured required (in Euros):
Buildings:
Contents (excluding jewellery & valuables):
Jewellery (permanent home owners only):
Valuables (permanent home owners only):
All risks items (permanent home owners only) - cash, credit cards, camers, etc - away from the home:
Have you made any claims in the last 5 years?: *