Skip Hire Operators Liability Quote Form

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 Skip Hirers Liability Insurance only. Please note that we are unable to quote for risks based in Ireland.

If you have any problems with completing this form, please phone us on 08453 455 855 for assistance.

Personal/Company Details
Proposers Name (incl. partners names if partnership):
Trading Name:
Trading Status:	- - - - - - Please Select - - - - - Sole Proprietor Partnership Limited Company Unincorporated Association
Occupation/Trade:
Postal Address:
Postcode:
Daytime Telephone Number:
E-Mail Address:
General Information
Description of your business activities: (Please describe as fully as possible)
Please confirm the number of skips owned by the company which you hire out:
Do you carry any hazardous waste?	Please Select No Yes
How many years has your business been trading?	Please Select 0 Years 1 Year 2 Years 3 Years 4 Years 5+ Years
Number of years experience (if different)	Please Select 0 Years 1 Year 2 Years 3 Years 4 Years 5+ Years
Have you or any other partner or director suffered any loss or had any claims made against you in the last 5 years?	Please Select Yes No
If yes, please provide details:	Date of claim: Cost of claim:£ Details of claim: ---------------------------- Date of claim: Cost of claim:£ Details of claim: ---------------------------- Regrettably, if you have more than 2 claims, we will be unable to provide you with a quotation.

Details Of Liability Cover Required
Public/Product Liability
Public/Product Liability limit of indemnity:	£	1 Million 2 Million 5 Million Not Required
Number of Proprietors/Partners/Co. Directors:
Wages of Proprietors/Partners/Co. Directors:	£
Annual Turnover:	£
Employers Liability (Compulsory by Law if you employ staff)
Is Employers Liability Cover Required?		Please Select Yes No
Number of Clerical / Administrative Employees:		Do not include proprietors, partners and directors
Number of Manual Working Employees:		Do not include proprietors, partners and directors
Total Annual Wages of Employees:	£
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:

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.