SR Insurances - trades liability

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Trades Liability
& Constructional Trades

We can offer a wide range of competitively priced
policies to cover all types of business insurance.

Just fill in the form with as much information as possible and we will get back to you with a comprehensive quote.

Your details…
Title
First Name
Surname
Address
Postcode
Telephone Number
E-Mail

Your business…
Trading Name

Are you?

Sole Trader
Partnership
Limited Company
Business, Trade or Occupation
Have you made or has any claim been made against you in the last 5 years ?
If 'Yes,' please provide full details

Liability Please choose Public Liability Limit of Indemnity required
Is Employers Liability required?
Do you use woodworking machinery?
Do you use welding or flame cutting equipment?
Do you use blow lamps or blow torches?
For Public Liability please state the number of MANUAL PERSONS (maximum 10)
For Employers Liability please state the number of ALL permanent employees or labour only sub-contractors (max. 10)
Do you have temporary employees (no more than 8 weeks at a time)?
If Yes, how many?

All risks on personal tools
If All Risks cover on Personal Tools is required, please enter the value £

Own Plant
If cover for your own plant is required, please enter the value £

Hired in Plant
If cover for hired plant is required, please enter the value £

Contract Works
If cover for Contract Works is required, please enter the value £

Occupational Personal Accident
If Occupational Personal Accident cover is required, please state names of ALL persons requiring cover
OPTION A - Death, loss of sight or limbs & permanent total disablement. 1 Unit = £5000
OPTION B - temporary total disablement. 1 Unit = £50

* Maximum of 4 Units for each option

Has any person to be insured ever suffered from any illness, disability or any condition which has affected his/her ability to undertake normal business activities?

If YES please give details:

And finally…
Is there anything else you need to tell us about?

How did you hear about this web site

The personal details you have submitted on this form will be used only for the purposes of supplying you with a quotation. None of this information will be made available to other companies or organisations for the purpose of mailing, promotions, direct selling or any other offers.

Thank you for filling in this form. Please ensure you have filled in as much as possible - the more details you give us the better quote we can give you!

For you own records you may like to have a printed copy of this form. Just press the Print Form button.
Press the SEND button to forward your details to us.

We will forward a quote as soon as possible.

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Sharpley & Regent Insurance Services Ltd.
38 Alexandra Road, LOWESTOFT, NR32 1PW
Tel: 0845 130 0202 (Calls charged at local rate)
Fax: 01502 532605

ã Sharpley & Regent Insurance Services Ltd. 1999 - 2007