Request Info

BIBA (British Insurance Brokers Association) web-site

Self build insurance

Self Build Insurance contact form


Your name
E-mail address
Address line 1
Address line 2
City
State/County	(must be in UK)
Country
Telephone No.
Policy Type
Starting date (est)
Finishing date (est.)
Completion Cost	£(No commas)
Public Liability cover	Higher sums may be quoted - please ask
Tools/ Plant	£
Caravan	£
Comments, other covers required contract, details etc
Any other demands and needs?	I have no specific demands or needs
Declaration I have completed the form to the best of my knowledge and belief. I have made a full disclosure of all material facts. I have read and understood the Important information below. I understand that there is no cover in force until confirmed by B. Portwood & Co Ltd, a satisfactory proposal form completed and accepted and payment of the premium made - either in full or an instalment plan set up acceptable to B. Portwood & Co Ltd.

Note: Hit submit button once only

Insurance products - full listing on our home page

Self build insurance - back to information

Self build insurance - back to main house product page