For an e-mail summarising details of our combined professional indemnity and liability insurance scheme and to check whether you are eligible for cover please complete your details below.
Please note that by completing your details below you are in no way committing to taking out insurance cover and your details will not be added to any mailing lists.
Company/Trading Name:
Contact Name - Title & Surname:
Contact Name – First Name:
Contact Number (optional):
Date Business Established:
Are You a Member of Any of The Following Organisations:
E-mail Address (required):
We can send you by e-mail all or any of the following:
Summary of Cover & Premiums:
Specimen Policy Wording:
Check Eligibility:(please complete your details below):
No. of Directors & practising Contractors:
No. of Other Staffinc. non-practising directors:
A full, clear description of your business activities identifying your responsibilities and objectives:
If Eligible Do You Wish To Proceed With Cover?
If YES, What Date Do You Require Cover From:
Have You Been Previously Insured?
Professional Indemnity Limit of Indemnity (£):
Public/Products Liability Limit of Indemnity:
Please press the submit button and we will reply shortly by e-mail.