Simple Home Contents Insurance Application Form
This file contains the Simple Home Contents Insurance Application Form for Midland Heart customers. It includes details about coverage options, instructions for completing the form, and submission guidelines. Use this form to protect your home contents against loss or damage.
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How do I fill this out?
Follow these steps to complete the form accurately. Ensure you have all the necessary information about your home contents. This introduction will guide you through the process.

How to fill out the Simple Home Contents Insurance Application Form?
1
Read the Insurance Product Information Document and the Essential Information Document.
2
Add up the total replacement cost of your home contents.
3
Decide on the cover you need based on the provided options.
4
Check the cost for your chosen cover using the premium tables.
5
Complete and sign the form, then post it or call to apply over the phone.
Who needs the Simple Home Contents Insurance Application Form?
1
Midland Heart tenants who need to insure their home contents.
2
Homeowners looking for comprehensive insurance coverage.
3
Individuals seeking financial protection against fire, theft, or water damage.
4
People who want to cover accidental damage to their home contents.
5
Anyone requiring customizable insurance options for personal belongings.
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Click on the fields to input or change your information.
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Use the toolbar to add text, images, or annotations as needed.
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Review your edits to ensure all details are correct.
5
Save and download your edited PDF for submission.

What are the instructions for submitting this form?
To submit this form, you can either post it to RSA, URIS Group, Quay Point, Lakeside Boulevard, Doncaster, DN4 5PL, or call 0345 6718172 to apply over the phone. Make sure to complete all required fields and sign the form before submission. Follow these instructions carefully to ensure your application is processed smoothly.
What are the important dates for this form in 2024 and 2025?
The insurance scheme renews annually. Ensure your current coverage by submitting the form before the end of each year.

What is the purpose of this form?
The purpose of this form is to provide Midland Heart customers with an easy-to-use application for home contents insurance. It aims to protect personal belongings from various risks and damages. By completing this form, users can choose the appropriate level of coverage tailored to their needs.

Tell me about this form and its components and fields line-by-line.

- 1. Personal Details: Include your name, address, and contact information.
- 2. Coverage Selection: Choose between Simple and Simple+ coverage options.
- 3. Replacement Cost Calculation: Enter the total replacement cost of your home contents.
- 4. Additional Coverage Options: Select any additional coverage for personal belongings, hearing aids, wheelchairs, or bicycles.
- 5. Payment Details: Provide your payment information for insurance premiums.
- 6. Signature: Sign and date the form to complete your application.
What happens if I fail to submit this form?
Failure to submit this form may result in lack of insurance coverage for your home contents.
- No Financial Protection: You will not have financial protection against loss or damage.
- Increased Risk: Your personal belongings will be at risk without coverage.
- Peace of Mind: Lack of insurance can cause stress and uncertainty.
How do I know when to use this form?

- 1. New Tenants: When you are moving into a Midland Heart property.
- 2. Coverage Upgrade: When you want to upgrade your existing insurance plan.
- 3. Additional Coverage: When you need to add extra coverage for specific items.
- 4. Renewal: Annually when renewing your insurance.
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What types of coverage can I apply for?
You can choose between Simple and Simple+ coverage options.
Where do I send the completed form?
Mail it to RSA, URIS Group, Quay Point, Lakeside Boulevard, Doncaster, DN4 5PL or call 0345 6718172 to apply over the phone.
Can I add accidental damage coverage?
Yes, Simple+ includes full accidental damage cover for home contents.
What items should I include in the replacement cost?
Include all home contents, such as furniture, electronics, appliances, and personal items.
Can I get a large print or braille version of the document?
Yes, a large print or braille version is available upon request.
How do I determine the appropriate level of coverage?
Read the Insurance Product Information Document and choose the coverage that meets your needs.
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