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Liability Insurance - Priority Questionnaire.
 

Home>Liability Insurance>Liability Insurance - Priority Questionnaire


 


Proprietor's Name:
(required)
Trading Name:
Trading Address:(required)
Post Code:
Telephone Number: (required)
Enter your trade or profession:(required)
Are you a limited company?
No of manual principals / directors:
No of manual employees (excluding above):
No of clerical workers:
Please state annual payments made to bona fide sub-contractors per annum:

If your company has more than 12 staff members we also require the following:

The company's annual turnover:
The company's annual manual wage bill:
The company's annual clerical wage bill:

Public Liability limit of Indemnity required: -
Employers Liability automatic @ £10,000,000 if you employ anybody or are a Ltd company.

Have you ever made or has any claim been made against you in the last 5 years?:
When is your current policy due for renewal?
What is your current premium?
Is cover for any of the following required? (If so, please indicate):
Where did you hear about us?
Enter your email address: (required)