Name
Address
		Postcode
Telephone		Email Address
Details of the Let Property
Address		Postcode

Type of Property

Single Tenancy House Funished Bedsits with Own Cooking Facilties Bedsits without Own Cooking Facilities Student Halls of Residence Single Tenancy House Unfurnished Muliple Tenancy House Furnished Purpose Built Flats Furnished Purpose Built Flats Unfurnshied Flat Conversion Furnished Flat Conversion Unfurnshed Multiple Tenancy House Unfurnished

Number of Tenants( one family group is one tenant)

Tenant Description

Asylum Seekers Employed Short Term Tenancy Students DSS Short Terms Tenancy Local Authority Under Contract

- Walls - Standard Non Standard - Roof - Standard Non Standard - Floors - Timber Concrete Timber & Concrete Other - Stairs - Metal Other Concrete Timber Timber & Concrete Are the premises self contained? Yes No

Fire Alarm None Class A Class B Class C Unknown Sprinkler Systems None 28th Edition Class I 28th Edition Class III 28th Edition Ordinary 28th Edition Standard A 28th Edition Stamdard B 29th Edition Grade I 29th Edition Grade II 29th Edition Grade III 28th Edition Class II Is any part unoocupied? No Yes

Year Built		Minimum Letting Period	months
Buildings Sum Insured		Outbuildings
Fixtures and Fittings		Special Glass
Communal Contents		Loss Of Rent		Months
Subsidence Cover Required Not Required	Property Owners Liability	Limit of Indemnity £1Million £2Million £5Million	Do you require Employers Liability Insurance?	Yes No

Claims	Date	Cause	Amount