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    Liability Quote Page

    Contact Details

    Name

    Email

    Telephone (day)

    Business name

    Contact Address

    Cover Required

    Business Address (if different from above.)

    Cover Type

    Cover start date


    Trade/Profession

    Professional Indemnity


    Public Liability Amount


    Employers Liability Amount


    No of employees


    Please describe fully your occupation, work undertaken and qualifications.


    Extra Information, please include any extra information that we might require to obtain a favourable quotation for you. Please state the following, do you undertake work outside of the UK or in a dangerous or hazardous place, do you work at height using a ladder etc, and let us know if there have there been any previous losses or claims for this type of policy in your name.

    Extra Information