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HOME INSURANCEadmin2026-07-09T12:05:51+00:00

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Personal details

Full Name

NIE number

Date of birth

Email Address

Phone number

Marital Status

Single

Married

Civil Partnership

Other

Number of children

Full address of the Property

Who is the owner of the property?

The policyholder

A different owner

Postal Code

City

Full name or Company name

ID Number (DNI/CIF or NIE)

Date of Birth

Type of Property

Apartment (not ground floor)

Ground floor apartment

Penthouse / top floor

Semi-detached / terraced house

Detached house / villa

Village house

Year of Construction

Total built area of the house (m²)

Additional Built Area (m²) (garage, storage room, pool, BBQ, etc.)

Does the property have a fireplace or swimming pool?

Swimming pool

Fireplace

Both

None

Cadastral Reference (if known)

PROPERTY USE

Property Usage

Owner – Primary residence

Owner – Secondary residence

Owner – Rental property

Tenant – Primary residence

Tenant – Secondary residence

Holiday rental property

Tourist rental property

Other

Unoccupancy of the property (consecutive days the property is unoccupied at any one time)

0–30 days

31-90 days

91-180 days

More than 180 days

Other

CONTENT VALUE

Please indicate the approximate value of the contents of your property.
(Include kitchen equipment, furniture, appliances, electronics, clothing, decoration, jewellery, and valuables)

Contents Value

Do you have jewellery in the property with an individual value exceeding €3,000?

Yes

No

JEWELLERY COSTING OVER €3,000

Please could you let us know which item(s) of jewellery and their approximate value

PRIVACY POLICIY

https://mark-petrie.com/privacidad/

Data protection

I consent to the processing of my personal data for the purpose of receiving an insurance quote.

Do you have any valuables in your home that are worth more than €3,000 each?

Yes

No

VALUABLE ITEMS

Please indicate the item(s) of value and their approximate value.

PRIVACY POLICY

https://mark-petrie.com/privacidad/

Data protection

I consent to the processing of my personal data for the purpose of receiving an insurance quote.

ADDITIONAL RELEVANT INFORMATION

What are you most concerned about protecting in your home?

PRIVACY POLICY

https://mark-petrie.com/privacidad/

Privacy policy

I agree to the processing of my personal data for the purpose of receiving an insurance quote.

HOME
ABOUT MARK PETRIE
INSURANCE
- BUSINESS INSURANCE
- PRIVATE INSURANCE
HELPLINE NUMBERS
REQUEST A QUOTE
- HOME INSURANCE
- CAR INSURANCE
CONTACT

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brokers@mark-petrie.com

965 78 18 15

Monday to Friday

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