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© 2025 Prestige Insurance Brokers (UK) Limited

Fact find questionnaire

for FOOD & BEVERAGE PLACES

FILL OUT THE FORM BELOW TO GET AN INSURANCE QUOTE FOR YOUR BUSINESS

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Contact Name

Email

Phone number

Business insurance renewal date or start date

Current insurer

If applicable

Premium target

If applicable

Business Name

Trading name

Status of entity

Company registration number

Business description

Date business established at this address

Premises address: (Premises Name, Building Number, Street Name, Town, Post Code)

Business location:

High street
Arcade
Business Park
Covered Shopping Centre
Cliff
Domestic Premises
Lakeside
Market Hall
Parade
Precinct
Riverside
Seafront

How many Directors and/or Partners the business has in total?

1
2
3
4

1) Full name / Date of Birth / Position within the company:

2) Full name / Date of Birth / Position within the company

3) Full name / Date of Birth / Position within the company

4) Full name / Date of Birth / Position within the company

Select any of the following that apply to any Director or Partner of the business, if the ever:

had a proposal refused or declined
had an insurance cancelled
had a renewal refused
had special terms imposed
been declared bankrupt or insolvent or been the subject of bankruptcy proceeding or insolvency proceeding
had any convictions or criminal offences which are not spent under the Rehabilitation of Offenders Act or have any prosecutions pending
None

Does the business have any employees?

Yes
No

Employer PAYE No

Are any employees paid below PAYE threshold?

Yes
No

(inc. LOSC, trainees, apprentices)

Total number of employees

How many of them are manual workers?

Estimated wageroll for manual workers (£)

Estimated wageroll for other employees (£)

Which activities listed below apply to your business:

Serving Hot Food
Deep Fat Frying
Sale of Take-Away Food

Estimated Turnover (next twelve months) (£)

Turnover percentage derived from Serving Hot Food

Turnover percentage derived from Deep Fat Frying

Turnover percentage derived from Sale of Take-Away

Do you use a frying range?

Yes
No

Do you use basket fryers?

Yes
No

What is the oil capacity? (In litres)

Are all cooking fume extraction canopies and the entire length of ductwork cleaned at least once a year, to the TR/19 cleaning standard, by an independent professional contractor who specialises in the cleaning of such equipment and Certificate / Confirmation is issued by the contractor together with an invoice to be retained by the business?

Yes
No

Does the business undertake Portable Appliance Testing (PAT) of the electrical machinery and/or portable appliances condition regularly (at least every 6 months) to ensure that they are safe and in good working order?

Yes
No

Type of cuisine served

Latest Hygiene Rating score

1
2
3
4
5

Maximum seating capacity

Business Licence type:

Liquor (On-Premises)
Entertainment
Gambling
No licence

Any opposition to/incident that may prejudice the granting, renewal, or transfer of the licence?

Yes
No

Is there intention to transfer the licence within the next twelve months?

Yes
No

Activity types

Number of times held per month?

Is a fee charged for this activities?

Yes
No

Does the business offer food deliver service to customers?

Yes
No

How is delivery carried out? (Own employees / Third Party)

Number of staff carrying out deliveries

If appplicable

Are the premises are also owned by the same business?

Yes
No

Property Ownership Name

Date of purchase

Estimated total value of the building:

Year the property was built

Property type: (Detached, Semi-detached, Terraced, etc)

Is the property a Listed building?

Yes
No

Provide details

Please select if any statements are applicable to the property

The business is not self contained with its own means of access
The premises is in area with history of flooding
The proposer is not the sole occupant (if other than offices or private dwellings)
There is an ATM on the premises
The property or adjacent property has suffered from, or shows any visible signs of damage from subsidence, landslip or ground heave
None

Operating business days and hours:

Is the property is of non-standard construction?

Yes
No

(Walls not built only of brick, stone, metal or concrete or roofed only with slates, tiles, metal or concrete)

Number of storeys where floor is of concrete construction

Number of storeys where floor is of wooden construction

What materials are the property walls made of?

Please provide percentage split, if the walls are made of more than one material

What materials is the property roof made of?

Please provide percentage split, if the roof is made of more than one material

Is there an area of flat roofing?

Yes
No

If yes, please state the approximate percentage of the roof being flat

Heating and fuel type

Please select all risk management features that you use for this property

Intruder Alarm
Wired Fire Alarm
Other
Sprinklers
CCTV - 30 days recording
None

Intruder Alarm type:

Maintenance contract accreditation in force

Accreditation of intruder alarm

Does the alarm incorporate confirmable technology?

Yes
No

Is the alarm connected to the Police response?

Please specify level of response

Is the alarm under the sole control of the business?

Yes
No

Are your sprinklers maintained by Loss Prevention Certification Board approved company?

Yes
No

Sprinklers accreditation details:

Other risk management features

If applicable. Please specify

Reinstatement sum of Business Fixtures and Fittings

Reinstatement sum of Tennant's Improvement

Reinstatement sum of Computers & Electrical Equipment

Reinstatement sum of other Business Equipment

Reinstatement sum of the Business Stock

Please exclude: Wines, Spirits & Frozen Stock

Reinstatement sum of Wines & Spirits

Number of fridges and freezers, along with the maximum reinstatement sum of stock in each

Required length of indemnity period for Business Interruption cover

12 months
24 months
36 months
Not required

Estimated Gross Profit for the next 12 months

Required Limit of indemnity for Public Liability

Required Limit of indemnity for Product Liability

Required Limit of indemnity for Employers' Liability

If applicable

Have you made any claim in the last 5 years?

Yes
No

Please provide: The date of the claim, Cause of the Claim, The Claim Amount & the Outcome:

Any addition information?

GDPR Agreement *

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© 2025 Prestige Insurance Brokers (UK) Limited - Appointed Representative of TEn Insurance Services Ltd, trading as Eleven, which is authorised and regulated by the Financial Conduct Authority (FRN 314593)