Skip Hirers Insurance Quotes

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 Public Liability Insurance. Cover can also be extended to include employers' liability insurance for skip hire operators.

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

Personal/Company Details
Proposers Name(s): (include all partners names if partnership)
Limited Company Name (if applicable):
Trading Name:
Trading Status:	- - - - - - - Please Select - - - - - - Sole Proprietor Partnership Limited Company Limited Liability Partnership Unincorporated Association
Occupation/Trade:
Correspondence Address:
Postcode:
Daytime Telephone Number:
Mobile 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:
Have you, or any other partner or director ever been prosecuted under the Health and Safety at Work Act?	Yes     No
If yes, please provide details:
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:
What percentage of your skips are kept on public highways?	0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 %
Do you carry any hazardous waste?	Please Select No Yes
Do you have a waste transfer station?	Please Select No Yes
Trading Experience
How many years has your business been trading?	Please Select 0 Years 1 Year 2 Years 3 Years 4 Years 5 Years 6 years 7 years 8 years 9 years 10 years 11 Years 12 Years 13 Years 14 Years 15 Years 16 years 17 years 18 years 19 years 20 years 20+ years
Number of years experience (if different)	Please Select 0 Years 1 Year 2 Years 3 Years 4 Years 5 Years 6 years 7 years 8 years 9 years 10 years 11 Years 12 Years 13 Years 14 Years 15 Years 16 years 17 years 18 years 19 years 20 years 20+ years
Claims Experience
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 10 Million
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 Manual Working Employees:		Do not include proprietors, partners and directors
Total Annual Wages of Manual Employees:	£
Number of Clerical / Administrative Employees:		Do not include proprietors, partners and directors
Total Annual Wages of Clerical 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:
Liability 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.