Public, Products and Employers Liability Online Quote Form

Please correct the following:

Please confirm the type of tools cover required

Your Details
First name *
Surname *
Company name (if applicable)
Address *
Postcode *
Telephone number *
Email address *
Type of business*
Company Status

Number of years experience in the trade *
Number of continuous claim-free years *
How many persons are involved in the primary trade activities of the business?
Partners *
Directors *
Employees & labour only sub-contractors *
Do you undertake work away from your premises involving any equipment for the application of heat? *	YES NO

Cover
Public liability indemnity limit required *
Employer's Liability
Employer's Liability cover for employees using fixed woodworking machinery? *	YES NO
If yes, number of employees using fixed woodworking machinery
Please select level of tools cover *
Please select type of tools cover*
Goods in Transit cover required? *	YES NO

Further Information
Date cover required *	(dd/mm/yyyy)

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