Test website

Company Name:

Status of entity:

Primary Industry Sector:

Primary Address (Address, City)

Post Code

Date Established (DD/MM/YYYY)

Last 12 Months Gross Revenue:

£

Description of Business Activites:

Number of Employees

All employees (inc. LOSC, trainees, apprentices) paid below PAYE threshold:

Yes No

Please provide full details:

Employer PAYE No:

Wageroll

£

Name of Insured

Risk Address Line 1

Risk Address City

Risk Address Postcode

The property was built:

No. of Floors:

What fire prevention precautions/equipment do you have in place?

Is there any history of flood and/or subsidence or in an area susceptible to flood and/or subsidence?

Yes No

Intruder Alarm:

Yes No

Fill out below:

Building Sum Insured

£

Stock:

£

ToAdd:

Quotation Request