Tradesmen’s Liability Insurance Quote Request

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

COMPANY/CONTACT DETAILS

Business Name:

Are you a Limited Company:

Yes

Contact Name - Title & Surname:

Contact Name - First Name:

Postcode:

Contact Number:

E-mail Address:

Renewal Date:

Name of Existing Insurers:

Target Premium (£):

Please provide a description of your business activities:

How many years have you been trading?

Have you made any claims or suffered any losses in the past 5 years?

Details of membership of any regulatory body (e.g. CORGI):

LIABILITY COVER

Public Liability Limit of Indemnity:

Employers' Liability Limit of Indemnity:

No of MANUAL Principals/Directors:

No of MANUAL Employees inc. labour only subcontractors:

Estimated annual payments to Bona Fide Subcontractors:

Do you need Temporary Employee insurance cover?

Yes

Do you work solely on Private dwelling houses, Offices, Public Houses, Guest houses, hotels and schools?

Yes

Maximum Height worked at:

Maximum Depth worked at:

Does your work involve the use of Heat?

If Other, please give details:

STATEMENT OF FACT

If you agree with the above statements please tick here:

If you do not agree with any of the above statements please tick here and give full details below:

Comments

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