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  Tradesman Liability Quotation Request Form

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Proposer Details
 

Proposer Name *

 
Trading As *
 

Telephone *

 
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Fax *
 
Contact Address & Post Code *
 
Type of Company
(Sole Proprietor / Partnership / Ltd)
 
Date of Cover required
 
     
Amount of Liability Cover Required (£m)
 
Employers
 
Public
 

Type of Business
(Describe type of work, ie building, roofers, etc)

 

Nos Years Trading

 

Nos Years Experience in Trade

 

Annual Turnover £

 
Nos Principals/ Partners/Directors
engaged in
 
Manual
 
Clerical
 
Nos Employees
(Labour only, sub-contractors, under government schemes)
 
Full Time
 
Part Time
 
     
Proportion of Time Spent on Dangerous Activities ( % )
 

Blow Lamps %

 

Slings and Cradles %

 
Woodwork %
 

Welding Equipment %

 

Commercial Property %

 

Other – Specify

 

Tools Cover

 
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Please provide details of any claims and convictions
 
 


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