Home Office Insurance Quote

Insurance2day Insurance Services Ltd are authorised and regulated by the Financial Services Authority and are members of:

Company Name:

Contact Name (inc Title):

Home Address:

Postcode:

Contact Number:

E-mail Address:

Nature of Business:

Example of Customers:

Number of Years Trading:

Renewal Date:

Target Premium (£):

COVER REQUIRED

Buildings Sum Insured (£):

Is Subsidence Cover Required?

Glass & Signs (£):

Fixtures, Fittings, Plant & Machinery (£):

Stock (£):

Example Types of Stock:

Computer Equipment (£):

Optional Extensions:

Stock In Transit (£):

All Risks Cover for Laptops (£):

Money Cover (£):

Business Interruptions Cover (£):

Any Other Cover Required:

PUBLIC LIABILITY

Limit of Indemnity:

Estimated Annual Turnover (£):

Details of Any Exports:

EMPLOYERS' LIABILITY

Limit of Indemnity:

Clerical/Managerial Wage Roll (£):

Manual Wage Roll (£):

Details of Work Away From Premises:

Details of Work Outside of U.K.:

Additional Information:

Is you home built with brick, stone or concrete walls and slate or tile?

Is any proportion of the premises roof flat?

Are the premises protected by a N.A.C.O.S.S. approved alarm?

Please detail any other security factors:

Please details of ALL and ANY losses you have suffered or claims you have made in the last five years (please advise date(s), cost(s) and circumstances:

Have you ever had an insurance policy cancelled or special terms imposed?

Any additional information/comments:

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