Broadform (Public & Products) Liability Quote

Contact Name:

what's your postcode?

Email Address:

Phone:

Preferred method of contact?

Do you hold a current Public or Product Liability Insurance policy?

Yes
No

What is the date that the Insurance is required?

Please provide a description of your business activities and products:

What is your estimated annual Turnover?

Estimated Wages Payable (12 months)?

(including working directors wages)

Do you engage contractors or sub-contractors?

Yes
No

What limit of indemnity do you require?

Have you had any claims made against you (whether insured or not) or have you recalled any of your products during the last 5 years?

Yes
No

Have you had any incident or accident occur which would have been covered by the proposed insurance policy?

Yes
No

have you had any insurance declined or cancelled, proposal rejected, renewal refused, claim rejected, special conditions or special excess imposed by an insurer?

Yes
No

Would you also like a quote for?

Form Shield

Income Protection Insurance	Motor Insurance
Life Insurance	Plant and Equipment Insurance
Management Liability Insurance	Machinery Breakdown Insurance
Workers Compensation Insurance	Cyber Liability Insurance
Business Interruption Insurance	Transit Insurance
Business Package Insurance	Travel Insurance
Professional Indemnity Insurance	Home Building, Contents &/or Landlords Insurance
Employee Journey Insurance	None of these extras, just liability insurance

Broadform (Public & Products) Liability Quote

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