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Change of details: Farm

Please select from one of the following...

Fields marked * are required.

1: Additional property private house buildings and or contents (inc. static caravans)

Broker name *
Policy number *
Email address *
Effective date of change *
Address to be insured *
Postcode *
Cover required
Buildings sum insured
Contents sum insured
Voluntary excess
My property is *
Property constructed of *
Please inform us of any previous insurance claims/incidents in the last 5 years

2: Additional farm buildings

Broker name *
Policy number *
Email address *
Effective date of change *
Address to be insured *
Postcode *
Cover required
Buildings sum insured
Contents sum insured
Voluntary excess
My property is *
Property constructed of *
My property is occupied by *
My property is in sound condition *	Yes No
If the answer to the above is no please give further details
Please inform us of any previous insurance claims/incidents in the last 5 years

3: Sum insured increase/reduction

Broker name *
Policy number *
Email address *
Effective date of change *
Details *

4: Additional cover/sections

Broker name *
Policy number *
Email address *
Effective date of change *
Details *
Cover required *

5: Public liability - diversifications/activities/events

Broker name *
Policy number *
Email address *
Effective date of change *
Permanent
Details
Turnover
Indemnity limit required
Temporary
Details
Turnover
Indemnity limit required

6: Change of insured title

Broker name *
Policy number *
Email address *
Effective date of change *
New title *
Add/delete partner	Yes No
Full names of all trading partners *

7: Livestock policies

Broker name *
Policy number *
Email address *
Effective date of change *
Sum insured amendments
Additonal specified animal
Cover required *
Type/breed *
Age/date of birth *
Name/tag number *
Purpose of use *
Sex *
Sum insured *

Rural Insurance Group Limited is authorised and regulated by the Financial Services Authority.
Registered address: Cast House, Old Mill Business Park, Gibraltar Island Road, Leeds LS10 1RJ
Registered in England and Wales. Registered no. 2207611
Copyright 2012 Rural Insurance Group Limited. All rights reserved.