Devon Direct Insurance Services 80 Milton Street Brixham Devon TQ5 0AS General: 01803 883 222 Fax: 01803 883 222 E-mail: hannah@devondirect.net Name Address Postcode Contact Telephone no Email (if you don't have an email then please type NONE) Country the property is situated in Buildings sum insured Contents sum insured Is the property in a good state of repair? Yes No Is the property going to be let? Yes No Date cover to start (if known)