Home Insurance

Please complete the following enquiry form for a Home Insurance Quotation.
 
Cover Details
Location of your home

Amount of buildings cover required

Amount of home contents cover required
Amount of cover for personal effects & Jewellery by accidental means
Is the premises occupied by you and members of your household as your main house?
Are the premises occupied solely for private residential purposes?
Is the premises of standard construction, i.e. brick, stone, concrete, slate or tile roof etc.
If no, please give details
   
Other Details (For Possible Discounts)

What is your age?
Are at least two smoke detectors fitted in the property
Is the property in a Neighbourhood watch or Community Alert area?
Is the alarm (to IS199) fitted to the property
Year of construction
Have you lived at the property for 5 years or more?
Who are your private car insurers
Please give details of any claims you have made in the last 5 years
   
Contact Details
Name
Telephone
E-mail
Other Contact Details
   
 


 
     
Tom Fogarty Insurance Brokers -16 Bank Place, Tipperary Town Tel: 062-51116 Fax: 062-51816 Email:info@tfi.ie