Asset Trust Group - classic car, high value vehicle, commercial, household, travel and breakdown cover.

High Value Household

You & Your Household

Name		Address	[Put Your Address Here]
Telephone		Postcode
Email		D.O.B
Gender	Male Female	Marital Status	Single Married Divorced Widowed
Occupation (Full / Part Time)		First Time Buyer	Yes No
Policy Start Date		Is the Property Rented
Policy Target Premium

Your Property

Property Type		No. of Bedrooms
Is the Property unoccupied daily ?	Yes No	Does the Property have approved locks ?	Yes No
Does the Propery have an approved alarm ?	Yes No	Are you a member of the Neighbourhood Watch ?	Yes No
Do you have smoke detectors fitted ?	Yes No	Have you claimed in the last 5 years ? If yes please give details	Yes No

Your Cover

Have you earned any No Claims Bonus ?	Yes No
Do you require Contents Cover ?	Yes No	Do you require Buildings cover ?	Yes No
Contents Sum Insured		Building Sum Insured
Cover Required		Cover Required
Total Excess		Total Excess