Please fill in the below contact form and we will contact you to confirm your premium, provide you with policy documents and confirm if you wish to go ahead.

Thank you for providing us with the required details, we will be in touch shortly.

College or University name

Title

First name

Last name

Telephone number

Address to be covered

Please provide the address to be covered by the policy.

Address line 1

Address line 2

Address line 3

Town

Postcode

There is a problem with the address you have entered. Please check the address for errors.

Date

Contents

General contents of your room that are yours or that you have responsibility for.

Unspecified personal possessions

Clothing, watches, mobile phones etc.

Laptop cover

Please select amount you require in addition to the £500 college policy limit.

Do you have any personal possessions over £200?

(Excluding laptops).

Personal possessions over £200

Please list all items including their values.

Do you require pedal cycle cover?

Limit of cover £200.

Do you require legal expenses cover?

I confirm the following

I have never been convicted of, cautioned for (or charged but not yet tried with) any offence other than a driving offence

I do not have any unsatisfied County Court Judgements

I have never been made bankrupt

I have read and understood the Insurance Product Information Document

Agent

Char4

XStream Office Branch

XStream Customer Classification

XStream Client Type

XStream Exec Code

XStream Agent Code

XStream Insurance Company

XStream Policy Type

XStream Commercial Type

XStream Feed Name

XStream Occupation

XStream Source

XStream Source Extra

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Students Insurance Top-up

Thank you for your enquiry, we will be in touch shortly.

Contact details