General questions

1. Situation of property to be insured
2. Description of the property proposed for insurance
   (e.g. building, contents, machinery, stock etc.)

Description of the premises (even if contents are to be insured).

3. Construction of walls Brick Stone Concrete Blocks Clay Metal Steel Frame Wood
4. Construction of roof Slate Clay tiles Concrete tiles Stone Metal Asbestos Cement sheeting Asphalt shingles Other incombustible materials

Occupation of premises

5. Describe your own use of the premises (e.g. retailing, storage etc.)
6. Do you occupy the whole of the premises?
   If not, state how the remainder is occupied
7. Are hazardous materials kept on the premises?
   If so, please give details and quantities
8. To what extent are the premises left unoccupied during the year?
9. Construction and occupation of adjoining or adjacent premises or land