Quoteline (01704) 270027
Email:
quotes@acorninsure.com
Specialist Home Insurance
1
2
3
4
5
6
About You
About Your Property
About Your Cover
About Your History
Your Quote
Payment & Confirmation
1
About You
your details
About You
Your Personal Details
Please enter your personal details:
Title
?
-- Please select --
Mr
Mrs
Miss
Ms
Dr (male)
Dr (female)
Please select a title from the list
First Name
Please enter your first name
Surname
Please enter your surname
Date of Birth
Date of Birth
Day
/
Month
/
Year
Please enter your date of birth. Please note you must be over 18 to get a quote.
Marital Status
-- Please select --
Civil Partnership
Divorced
Living with Partner/Common Law
Married
Not Applicable
Partnered
Separated
Single
Widowed
Required
Please enter the postcode of the property you wish to insure
?
Please enter your postcode
Invalid postcode: Please ensure your postcode is correct
Please search for postcode
House Number/Name
Please enter your house number or enter a postcode for automatic search
Street
City/Town
Please enter your city or enter a postcode for automatic search
County
Is the property at which you currently reside the same as the property you wish to insure?
Is the property at which you currently reside the same as the property you wish to insure?
Yes
No
Required
Please enter the post code of the address at which you currently reside
Invalid postcode: Please ensure your postcode is correct
Please search for postcode
Please enter your postcode
House Number/Name
Please enter your house number or enter a postcode for automatic search
Street
City/Town
Please enter your city or enter a postcode for automatic search
County
What is your employment status?
-- Please select --
Employed
Self Employed
Unemployed
Retired
In Full Or Part Time Education
______________________________
Asylum Seeker
Company
DSS
Employed (Temporary)
Financially Assisted
Household Duties
Independent Means
Not Employed Due To Disability
Student
Voluntary Work
Please choose your employment status from the list
What is your main occupation?
?
Please enter your occupation.
If you cannot find an occupation or industry which closely describes your employment, please select Unknown.
What type of industry is this in?
?
Please enter the industry you work in.
If you cannot find an occupation or industry which closely describes your employment, please select Unknown.
How many months have you been unemployed?
Are you currently actively seeking employment?
Are You Currently Seeking Employment?
Yes
No
Do you have a part time occupation?
?
Part Time Occupation?
Yes
No
Please answer yes or no
What is your part time occupation?
?
Please enter your job title or select 'No' to the Second Job question above
What type of industry is this in?
?
Please enter your job title or select 'No' to the part time occupation question above
Would you like to add a joint policyholder?
?
Do you wish to add an additional proposer?
Yes
No
Please select your answer
Please add at least one additional proposer
Title
-- Please select --
Mr
Mrs
Miss
Ms
Dr (male)
Dr (female)
Please select joint policyholder's title
First Name
Please enter the joint policyholder's first name or select no joint policyholder
Surname
Please enter the joint policyholder's surname or select no joint policyholder
Date of Birth
Date of birth
Day
/
Month
/
Year
Please enter the joint policyholder's date of birth. Please note they must be over 18 to get a quote.
Marital Status
-- Please select --
Civil Partnership
Divorced
Living with Partner/Common Law
Married
Not Applicable
Partnered
Separated
Single
Widowed
Required
What is their employment status?
?
-- Please select --
Employed
Self Employed
Unemployed
Retired
In Full Or Part Time Education
______________________________
Asylum Seeker
Company
DSS
Employed (Temporary)
Financially Assisted
Household Duties
Independent Means
Not Employed Due To Disability
Student
Voluntary Work
Please choose the joint policyholder's employment status from the list
How many months have they been unemployed?
Are they currently actively seeking employment?
Are You Currently Seeking Employment?
Yes
No
What is their occupation?
?
Please enter the joint policyholder's occupation
What type of industry is this in?
?
Please enter the industry the joint policyholder works in
Do they have a part time occupation?
?
Part Time Occupation?
Yes
No
Please answer yes or no
What is their part time occupation?
?
Please enter their job title or select 'No' to the Second Job question above
What type of industry is this in?
?
Please enter their job title or select 'No' to the part time occupation question above
What relationship is the Joint Proposer to you?
-- Please select --
Brother or Sister
Business Partner
Child of Proposer/Policyholder
Common Law Partner
Daughter in Law or Son in Law
Daughter Or Son
Director
Employee Of Proposer
Employer Of Proposer
Family
Grandchild
Grandparent
Guardian
Parent
Partner - Civil
Partner Of Family
Proposer
Sibling
Sister In Law Or Brother In Law
Spouse
Tenant
Unrelated
Volunteer Of Proposer
Please complete
Your session is about to expire!
Please click the 'OK' button for more time.
OK
OK