Home Insurance Data Capture "*" indicates required fields Disable online Purchasing Yes No Quote ReferenceOnline Household Data CaptureImportant DocumentsHalligan’s Terms and ConditionsPolicy Document – Upto 1st Sep 2025Policy Document – From 1st Sep 2025IPID – BuildingsIPID – ContentsDocuments End SectionHousehold Quote Ratesx_rate_id_used*x_bsi_rate*x_csi_dub_rate*x_csi_c_rate*x_riskarea_rate*x_csi_dub_lr_rate*x_csi_dub_mid_rate*x_csi_c_mid_rate*x_csi_dub_hr_rate_nb*x_csi_c_hr_rate_nb*x_csi_d_lr*x_csi_d_mid*x_csi_d_midHr*x_csi_d_hr*x_pb_d_rate*x_pb_c_rate*x_policy_excess_500*x_policy_excess_1000*x_water_excess_1000*x_caravan_rate*x_cover_type_rate*x_nb_rate_dis*x_sao_rate*x_basa_rate*x_mbasa_rate_nb*x_ncd_1*x_ncd_2*x_ncd_3*x_ncd_4*x_ncd_5*x_ncd_6*x_ncd_7*x_over_50_disc*x_fbp_rate*x_sar_rate*x_usar_rate*x_remove_unspec*y_usar_free_cover*x_accidental_cover_dis*x_identity_theft_fee*x_gov_levy*y_gov_levy_amount*x_minimun_premium*x_commission_rate*y_comm_amount*x_dd_sd_fee_rate*x_online_purchase_discount*x_online_quote_discount*s_ins_companyx_admin_fee*s_pol_prefixEnter your contact details(* required fields)Title*Mr.Ms.Mrs.Miss.Name* First Last Address of the property to be insured* Street Address Address Line 2 City County Eircode Address of the property to be insured*Address Line 2City*County*County *CarlowCavanClareCorkDonegalDublinGalwayKerryKildareKilkennyLaoisLeitrimLimerickLongfordLouthMayoMeathMonaghanOffalyRoscommonSligoTipperaryWaterfordWestmeathWexfordWicklowArea Code*Area Code *Co. DublinDublin 1Dublin 2Dublin 3Dublin 4Dublin 5Dublin 6Dublin 6WDublin 7Dublin 8Dublin 8Dublin 9Dublin 10Dublin 11Dublin 12Dublin 13Dublin 14Dublin 15Dublin 16Dublin 17Dublin 18Dublin 20Dublin 22Dublin 24Postal Code/Eircode*Date of Birth* AgeStaff Number*Email Address* Mobile Number*Affinity Groups*AGSIAn PostAn Post CUCWU MemberEirFirst Tech CUGSRMAIPUISMEVodafoneAffinity Group*Occupation*Do you have any other policies with us?* Yes No What is your Client Code or Reference?Enter the property's detailsCover Type*Main ResidenceHoliday HomeRentalCover TypeYear the property was built*202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940What type of property do you have*DetachedSemi-DetachedBungalowTerracedApartmentProperty Size (Sqr Ft)*No. of Bedrooms*1234567+Type of heating in the property*ElectricGasOilRenewable EnergySolid FuelOtherSelect the type of alarm in the property**** A minimum of 2 smoke alarms is required for all options. Smoke Alarms5% discount Smoke Alarms & Burglar Alarm15% discount Smoke Alarms & Monitored Burglar Alarm25% discount x_Dublin_Min_BSI_Additional_Amt30000Cover Start Date* Number of years Claim Free*3 Year (15% discount)4 Years (22% discount)5 Years (27% discount)6 Years (30% discount)7+ Years (33% discount)Cost to rebuild propertyPlease enter a number greater than or equal to 160000.Contents Cover of*Please enter a number from 25000 to 200000.y_bsi_amountPrevious Insurer on Property*Premium includes these discounts…1.125% online discount!Choose Optional Additional CoverDo you want cover for unspecified items outside of your home?* Include Unspecified Cover Exclude and Receive a €15 discount You can increase the default value on unspecified Items cover if needed*Do you want a higher claims excess*€200€500 (5% discount)€1,000 (10% discount)Do you want to add Accidental Damage to your property Yes No (10% discount) Do you want to add Full Bonus Protection Yes No (7% discount) Do you want to cover valuables outside the home, valued over €1,500?Add your specified items to below… Description Value Actions Edit Delete There are no Specified Items. Add Specified Item Maximum number of specified items reached. Total:Section BreakDo you have any bicycles to insure?Add bicycles you want to cover below… Serial Number for bicycle Description (make/model) Value Actions Edit Delete There are no Bicycles. Add Bicycle Maximum number of bicycles reached. Total:Section BreakDo you have a caravan to insure?Add caravan's you want to cover below… What’s the Make and Model? How many years old is it? Value Actions Edit Delete There are no Caravans. Add Caravan Maximum number of caravans reached. Total:Section BreakPurchase online for a total of 20% off!Do you want to buy online* Buy Online now for 20% Discount Submit Quote for Call Back (Only 5% Discount) Online Policy Agreementpre-purchase agreement 1* I understand that this policy is only open to members of the affinity group selected.*pre-purchase agreement 3* I understand that the 20% discount is only open to new Halligan Insurances customers.*pre-purchase agreement 2* I understand that payment does not guarantee cover.*Interested PartyIf this policy is in Joint Names, please add both names below.Do you have a mortgage on this property?* Yes No Who is your Mortgage Provider?What is their address?* Street Address Address Line 2 City County ZIP / Postal Code PLEASE READ THE ASSUMPTIONSYou (or any member of your household): Have not in the past three years made a household insurance claim or had a claim made against you. Have not been convicted of or charged with any criminal offence other than a minor driving offence. Have not been refused insurance, had any special terms imposed, had insurance cancelled, been asked to take additional precautions, or had renewal refused. In connection with this or any other property insurance, have you or any member of your household: Ever been declared bankrupt or been convicted* of arson, or any offence involving dishonesty of any kind (e.g. fraud, forgery, theft, robbery or handling or receiving stolen goods) or been convicted of any crime of violence associated with any of these offences? *Any convictions spent under the Criminal Justice (Spent Convictions and Certain Disclosures) Act 2016 do not need to be disclosed. Further information on spent convictions is available on www.citizensinformation.ie or you can check with your local Garda station if your conviction is considered spent under the Criminal Justice Act 2016. The Property (to be insured): Is owned by you and it is the permanent residence of You and a member of your immediate family Is in a good state of repair and will be so maintained and is currently occupied. (This assumption will be considered true if the house has been just purchased for immediate occupation by you i.e. within 28 days of purchase – cover during such period being limited to fire only). *Good state of repair is defined as secure, structurally sound, weatherproof, no evidence of dry rot, rising damp or infestation and there is no damage to the roof or chimney. the buildings are not showing any sign of internal or external stepped or diagonal cracking Is not in the course of construction. Is not undergoing renovation or refurbishment Is built of brick, stone or concrete and roofed with slates, tiles, metal, asphalt or concrete No more than 20% of the roof is flat. No more than 20% of the roof is roofed with mineral felt. The property is located on a site that does not exceed 2 acres in size. Has never been previously flooded nor is it in an area which has previously flooded or is particularly exposed to flood damage. No survey, search and/or enquiry made by me or my conveyancer has identified the home as being in an area at risk of flooding or suffered from flooding The buildings are not within 250 metres of a river, stream, tidal water or any other watercourse Has never shown any sign of damage by subsidence, heave or landslip, coastal or river erosion nor has it ever been underpinned. Has never been monitored for subsidence, heave or landslip, coastal or river erosion nor has it ever been subject to a survey which mentions settlement or movement of the premises, nor has it been underpinned. No survey, search and/or enquiry made by me or my conveyancer has identified the buildings as having been monitored for subsidence, landslip or heave. Is not used for business trade or professional purposes. Will not be regularly left unattended overnight. Is a single dwelling unit. Was built after 1920. Is not a listed building or protected structure. Is within the boundaries of the Republic of Ireland. Is protected with mortice locks or deadlocking rim locks to external doors and there is appropriate security on patio doors, French doors and on ground floor and other accessible windows. Where Contents cover is selected, the contents sum insured chosen does not include any High-Value Items with an individual value exceeding €3,000 or 5% of the contents sum insured (whichever is greatest). Caravan/Mobile Home cover is not required (this cover is not available for quotation online). Has No Tenants or paying guest residing there. The property being insured is your main residence. Your home insurance policy for this property has not expired. Your buildings will be insured for the total reinstatement cost including all fixtures and fittings and domestic outbuildings/garage Miscellaneous: Policy excesses will apply, please check the on-screen notes The Buildings Sum Insured chosen represents the full reinstatement or rebuilding value of the property to be insured. Online quotations will only be available where Buildings & Contents cover is selected (at a minimum), for all other quotations, please contact us. * I agree if I cancel after the cooling period a €25 cancellation fee will be deducted from any refund due to me as a result of the insurance policy being cancelled.Accept the above assumption requirements* I confirm that I have read and accept the above Assumptions and the Terms of Business on which the quote and cover are based.Quote Follow-Up Consent* Yes, I consent to Halligan Insurances contacting me by telephone to discuss my Group Home Insurance quotation and assist me with any questions I may have. Your Group Home Insurance Quote*By submitting this form, you are asking Halligan Insurances to obtain and prepare a Home Insurance quotation for you under the Group Insurance Scheme. Halligan Insurances will use the information you provide to assess your requirements, obtain and compare available quotations and, where appropriate, apply any available scheme or discretionary discounts. Your quotation and relevant supporting information will be sent to you by email and/or text message using the contact details you provide. I confirm that I accept the above.*Future Marketing Consent Yes, I would like to hear from Halligan Insurances about insurance products, services, member benefits and special offers that may be relevant to me, including offers available through the Group Insurance SchemesWe comply with the provisions contained in the Data Protection Acts 1988 to 2018. We are committed to protecting and respecting your privacy. All calls, both inbound and outbound, may be recorded or monitored for quality, training and verification purposes. Data collected to bind your policy is passed by secure email in encrypted form within the meaning of the Consumer Act and GDPR, you have the right to request a copy of your details we hold on file and to change any inaccuracies or to cancel same unless we are legitimately obliged to retain same. If any doubt arises, contact info@halligan.ieAccept the Data Protection Statement* I confirm that I have read and accept the Data Protection Statement*