Rent to rent form • LSK Risk Management

Have you had insurance or a proposal cancelled, withdrawn, declined or made subject to special terms? *

Have you been declared bankrupt or become insolvent or made any voluntary arrangement with creditors or been subject to enforcement of a judgement debt either in a personal capacity or as a business? *

Have you been convicted of or charged with any offence (including a civil penalty from the UK Border Agency), other than a motoring offence or conviction spent under the Rehabilitation of Offenders Act 1974? *

Name of company (ltd company, individual or partnership) *

Correspondence address *

Address of properties (list each property below) *

Number of bedrooms (list each property below) *

Value of contents (list each property below) *

Please list if properties are HMO/Serviced accommodation *

Flat/house - terraced/semi (list each property below) *

Contact name *

Contact number *

Contact email *

Name