Please complete all the mandatory fields marked with an *
*
*
*
*
*
*
Date Established:
Risk Address (if different)
Business Description (exact work being undertaken):
Date Business Established:
Security: Alarm Shutters Window Locks Security Bolts
If Alarmed: Naccoss Bells Only Redcare Central Station Digicom
Yes
No
Claims - Any claims suffered in the last 5 years. If yes please give suitable details: Yes No
Renewal Date:
Company Turnover:£
Annual Wageroll:£
No
Yes
Yes
No
Cover
Buildings or Tenants Improvement:£
Other Machines/Computers (not stock)£
Other Contents, Fixtures & Fittings£
Stock of perishable food£
Stock of dry food£
Stock Wines/Spirits/Tobacco£
Stock of Beer£
Delete cover not required
Loss of Licence£

Site designed and maintained by HH Design