Serving the public since 1975
Select a product
Motor Insurance
Travel Insurance
Commercial Vehicle
Trademan liability
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Business Commerical
Tradesman's Liability
Information
Title
Please select...
Mr
Mrs
Miss
Ms
Doctor
Reverend
Father
Professor
Sir
Lord
Lady
Sex
Please select...
Male
Female
Forename(s)
Surname
Trading Name
Contact number
Email
Are you a limited company?
Please select...
Yes
No
How many years have you been trading?
Please select...
1
2
3
4
5
6+
Exact description of your trade
Renewal date
DAY...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
MONTH...
January
February
March
April
May
June
July
August
September
October
November
December
/
YEAR
2006
2007
2008
2009
Current insurers
Public Liability
Public liability - Number of directors or principles
Please select...
1
2
3
4
5
6+
Public liability - Number of clerical workers
Please select...
1
2
3
4
5
6+
Public liability - Number of manual workers
Please select...
1
2
3
4
5
6+
Public liability limit
Please select...
1 million
2 million
Other
Employers liability
Employers liability - Number of directors or principles
Please select...
1
2
3
4
5
6+
Employers liability - Number of clerical workers
Please select...
1
2
3
4
5
6+
Employers liability - Number of manual workers
Please select...
1
2
3
4
5
6+
Do you engage the use of heat in your trade?
Please select...
Yes
No
Have you been involved or has any claim been made against you or any member of your staff in the last 5 years?
Please select...
Yes
No
Finish
