* Pre-contractual duty of disclosure

  You must answer all questions contained in this application form honestly and with reasonable care. Failure to do so may result in your policy being cancelled or we may refuse to deal with any claims or reduce the amount of a claim payment, as detailed under the Impact of Misrepresentation section, which you should read carefully.

The answers you provide are the basis upon which an insurance cover quotation will be offered or refused.





2. Questions About Your House   

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3. Questions About Your Cover   

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* Please select your cover type by clicking on one of the icons below.
Selecting the correct Buildings Sum Insured for Your House:
Please remember that the Buildings sum amount that you select, needs to be sufficient to fully reinstate or rebuild your Private House, boundary walls, gates and domestic outbuildings, at today's prevailing house rebuilding costs. The Guide to House Rebuilding Costs for insurance purposes, published by the Society of Chartered Surveyors Ireland, will help you to estimate the correct Buildings sum insured amount to select.
Important:
If the Buildings sum insured amount that you select is too low, then the amount of any covered claim payment will be reduced proportionately.



4a. Questions About Your Household's Claims and Insurance History:  

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4b. Questions About Joint Proposer:  

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5. Questions About Your Optional Covers  

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Optional All Risks Cover (Unspecified items)

 Note: Mobile Phones, Portable Computers, Laptop or Tablets must be specified under Specified Items section regardless of value.

If you require this optional cover, please select your chosen sum insured amount for Unspecified All Risks items.

Optional All Risks Cover (Specified items)

 This cover is for specified items (excluding Hearing Aid Units) worth more than €500

If you require this optional cover, please select Add Item to enter the details of a Specified Item for All Risks cover. Please note that you can only cover a Maximum of 5 Specified items, for Specified All Risks Cover.



Optional Specified Pedal Cycle Cover

Please complete this section if you require cover for pedal cycles OUTSIDE of your home.  


6. Questions About Policy Start Date & Your Claims Free Years: Edit




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