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Electricians Public Liability Insurance
 
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Electricians Liability Insurance Quotation Form

For UK Customers Only

Please insert your details below and one of our commercial advisers will contact you shortly with a liability insurance quotation.

This form is designed for quotes for Public/Employers Liability Insurance for electricians/electrical contractors only.

If you have any problems with completing this form, please phone us on 01623 641 386 for assistance.

Personal/Company Details

Proposers Name
(incl. all partners names if partnership):
Limited Company Name (if applicable):
Trading Name:
Trading Status:
Occupation/Trade:
Postal Address:
Postcode:
Daytime Telephone Number:
E-Mail Address:

General Information

Have you, or any other partner or director ever been
convicted of any offences, been declared bankrupt/
insolvent or had any insurance refused or cancelled?
Yes     No
If yes, please provide details:
(e.g. type of incident, date(s), amounts of
bankruptcy, fines, custodial sentence, etc.)
Description of your business activities:
(Please describe as fully as possible)
Is your home the base for your business or are you
operating from seperate dedicated business premises?
Is any work undertaken outside of the U.K.?
Do your activities involve the use of heat?
If yes, please state the type of heat used
(e.g. blowlamp) and how frequently it is used:
Do you carry out any 3 phase work?
Years Trading / Experience
How many years has
your business been trading?
Number of years experience (if different)
Claims History
Have you or any other partner or director
suffered any loss or had any claims
made against you in the last 5 years?
Yes     No
If yes, please provide details:

Details Of Liability Cover Required

Public/Product Liability
Public/Product Liability limit of indemnity:£
Number of Proprietors/Partners/Co. Directors:  
Wages of Proprietors/Partners/Co. Directors:£
Annual Turnover:£
Please state your annual payments to
Bona-Fide Sub-Contractors (if used):
(BFSC's are sub-contractors who supply their own
materials on site and hold their own insurance)
£ 
Employers Liability (Compulsory by Law if you employ staff)
Is Employers Liability Cover Required? 
Number of Clerical/Administrative Employees: 
Do not include proprietors, partners or directors
Number of Manual Working Employees: 
Do not include proprietors, partners or directors
Total Annual Wages of Employees:£
Tools Cover (Optional)
Tools Sum Insured:£
(£2,500 max sum insured)
Additional Information
Any additional information / cover required: 

Details Of Current / Previous Policies

Current Annual Premium: £
This may help us to get you a better quote
Current/Previous Insurer:  
Renewal Date (if applicable):  (dd/mm/yyyy)

Request Quotation

Disclosure
Please ensure that all the information you have provided is correct and that you have answered all the questions accurately then press the Request Liability Quotation button and we will contact you shortly with a quotation.