Newport Address:
51 High Street
Newport, Shropshire
TF10 7AT
01952 812 380

Stafford Address:
Odeon Buildings,
1 Newport Road,
Stafford, ST16 2HH.
01785 251 790

E-mail: click here

Tradesman Liability Quotation form

Proposer Details

Title: >> select >> Mr >> Mrs >> Miss >> Ms >> Dr.

First Name:

Surname:

Company Name:

Company Status: >> select >> Limited >> Sole Trader >> Partnership

Correspondence Address:

Postcode:

Risk Address (if different):

Contact Telephone number:

Contact Email Address:

Business Description:

Trading from date:

Time at this address:

Experience in Trade (years):

Annual Turnover:

Public Liability Limit of Indemnity: >> select >> £1 million >> £2 million >> £5 million

Number of Principals/Directors:

Number of Direct Employees:

Number of Labour only subcontractors: Help

Number of Bona Fide subcontractors: Help

Total Annual Wageroll:

Maximum Height Limit (Where applicable):

Maximum Depth Limit (Where applicable):

Tools Cover Required: >> select >> yes >> no

Existing Arrangements/History

Present Insurers:

Renewal Date:

Renewal Premium Offered:

Claim Details:

Date:

Description of loss:

Amount paid:

 

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