Professional Indemnity Insurance - Order a Quotation

Our job is to ensure you receive the best cover for your business. Please fill in your details and we will contact you back.

Contact Details

Name of Insured (Required) Nature of Business (Required) Address (Required) Telephone No. (Required) Fax Number Email (Required)

Details of Directors. Director 1 : Name | Qualifications | Date Qualified | Experience Details of Directors. Director 2 : Name | Qualifications | Date Qualified | Experience Details of Directors. Director 3 : Name | Qualifications | Date Qualified | Experience Number of Employees

Turnover this year (£) / Last year (£) / Two years ago (£)? Details of 3 Largest Contracts. Name | Size of Contract (£) | Duration of Contract Name | Size | Duration Name | Size | Duration Name | Size | Duration Will your activitivties change significantly over the next 12 months? Yes No Do you undertake any work outside the UK or do any work for clients based outside the UK? Yes No

Limit of Indemnity Required £250,000 £500,000 £1 Million Over £1 Million

Have you held Professional Indemnity Insurance before? Yes No Have previous Insurers been notified of all cases likely to give rise to a claim? Yes No Have any claims been made against you in the last 10 years? Yes No Have you suffered any loss in the last 10 years? Yes No Are you aware of any circumstances which might give rise to a claim? Yes No Are you aware of any circumstances which might cause a loss to you? Yes No Are you aware of any circumstances which might affect consideration of your proposal? Yes No

Is cover required for previous business? Yes No Are you a member of any regulatory bodies, associations etc? Yes No Have you sustained any loss through fraud or dishonesty of an employee? Yes No Do you have any knowledge of an employee committing fraud? Yes No Do you obtain references for employees going back 3 years or more? Yes No Have you ever had insurance refused? Yes No Have you ever had an application to a regulatory body/association refused? Yes No Have you ever had any disciplinary proceedures made against you? Yes No

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