UK Tradesman's Liability Insurance - Online Quotes from Insured Online.co.uk

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Please complete the following form to receive your personal quotation using the TAB key to move between questions, this should only take a couple of minutes. For assistance please use the 'help' and 'about' buttons above.

Tradesman's Liabilty Insurance - Quotation Request
Proposer's name
E-mail address
Company or trading name
Business address
Postcode
Telephone No
Fax No (optional)
Full names of Principals, Partners & Directors
1.
2.
3.
4.
5.
Compulsory cover
Public Liability
please select indemnity limit	�1M	�2M	�3M
Optional cover (please select as required)
Employer's Liability	Yes	No
Tools	Yes	No
About the business
Please provide full description of work
If your trade or business is a builder state whether
a) properties worked on are only private dwellings, flats, schools, shops & offices		Yes	No
b) properties worked on exceed 15 metres in height		Yes	No
c) it involves structural work		Yes	No
d) it involves demolition other than as a contract to rebuild by you		Yes	No
If your trade or business is Electrician state whether your work involves work on 3 phase installations, controls or machinery		Yes	No
How many people are involved in manual work?
a) Principals & Directors
b) Employees including labour only sub-contractors, hired people and people working under Government Sponsored Schemes (maximum number required at any one time is required)
Will you handle or use any of the following in connection with your business?
a) silica asbestos or substances containing asbestos		Yes	No
b) acids, gases, explosives, radioactive or similar dangerous liquids or substances		Yes	No
Does any of your work involve the following?
a) power stations, nuclear installations or establishments		Yes	No
b) refineries, bulk storage or production premises in oil, gas or chemical industries or offshore structures		Yes	No
c) aircraft, hovercraft, aerospace systems, watercraft or railways (underground or underwater)		Yes	No
d) work in or on computer suites or on computers		Yes	No
Further Information
Has any insurer cancelled, declined to renew or declined to provide cover in respect of any partner or director?		Yes	No
Have you or any partner or director ever been convicted of or prosecuted for any criminal offence involving dishonesty, arson, theft or wilfull damage or for a breach of any statute relating to health and safety at work or is any prosecution outstanding?		Yes	No
How many years experience do you have in the trade?
Have you or any of the Partners or Directors made any insurance claim, been claimed against or suffered any event which may lead to a claim for any of the covers proposed (whether insured against or not) in the last 5 years		Yes	No
if you haver answered yes to the question above please give details below (one per line please )
Details of claim	� Settled	� Outstanding	Year



Insurance required from
Renewal Date of present insurance (if applicable)
Preferred Payment Method

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