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© 2025 Prestige Insurance Brokers (UK) Limited

Fact find questionnaire

for Schools, nurseries & universities

FILL OUT THE FORM BELOW TO GET AN INSURANCE QUOTE

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Contact name

Phone

Email

Insurance renewal date

Current insurer

Premium target

Name of establishment to be insured

Year established:

Please provide a full description of your establishment:

Full address of premises to be insured

Would you like to provide a different address for correspondence?

Yes
No

Postal address details:

Details of the regulatory/professional body you are registered with and/or the quality standard scheme with which the business is accredited

Provide the Name & Registration number / Unique Reference Number

Does the business cater for students with special needs?

Yes
No

Please provide details:

Provide the age range of students

Number of Residential students

Number of Non-residential students

Is the business a registered charity?

Yes
No

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

1
2
3
4

1) Full name / Date of Birth / Occupations/ Qualifications

2) Full name / Date of Birth /Occupations/ Qualifications

3) Full name / Date of Birth / Occupations/ Qualifications

4) Full name / Date of Birth / Occupations/ Qualifications

Select any of the following that apply to any proposer, director or partner:

had a proposal refused or declined
had an insurance cancelled
has a renewal refused
had special terms imposed
Not applicable

Have you or any director or partner, governor, trustee or manager ever been convicted of any criminal offence other than a driving offence or have any non-motoring prosecutions pending?

Yes
No

You only need to tell us about any convictions that are unspent under the Rehabilitation of Offenders Act 1974.

Have you or any director or partner, governor, trustee or manager ever been declared bankrupt or the subject of bankruptcy proceedings, liquidation, appointment of administrative receiver?

Yes
No

Have you or any director or partner, governor, trustee or manager ever made any bankruptcy proceedings, liquidation arrangement with creditors either in a personal capacity or in connection with any company, business or firm with which any of you have been involved in?

Yes
No

Have you or any director or partner, governor, trustee or a manger ever had any County Court Judgments made against in a personal capacity ?

Yes
No

Have you or any director or partner, governor, trustee or a manger ever had any County Court Judgments made against any company, business or firm in which any of you have been involved as a director or partner or in a similar capacity?

Yes
No

Annual turnover

Employee numbers

Full-time permanent employees

Part-time permanent employees

Number of all volunteers

Employer PAYE reference No

Are all employees paid below PAYE threshold?

Yes
No

(inc. LOSC, trainees, apprentices)

Number of teaching staff

Teachers' annual wageroll

Number of management staff

Management' annual wageroll

Number of clerical/ administrative staff

Clerical' annual wageroll

Number of Maintenance staff

Maintenance' annual wageroll

Number of Caretakers

Caretakers' annual wageroll

Number of other staff

Please specify

Other estimated annual wageroll

Are the premises owned by this business?

Yes
No

Name recorded on the Land Registry's Title Deeds

Date of purchase:

Year built (YYYY)

Year business established at this address (YYYY)

Is the building listed?

Yes
No

Provide details:

Are the premises (excluding outbuildings) constructed of brick, stone or concrete and roofed with slates, tiles, asphalt, concrete or metal?

Yes
No

Please provide details:

Is there an area of the roof flat?

Yes
No

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

Are there any special facilities on the presmises such as: Gym, Sport Hall, Sport courts, Entertainment facility?

Please give details of the construction of any outbuildings to be insured

Are any of the premises or part of the premises hired out?

Yes
No

Total number of storeys

Does the property have a basement?

Yes
No

Type of heating

Heating fuel type

Is the property currently insured against subsidence, heave, landslip or settlement?

Yes
No

Has the property or any part of it ever been affected by movement of any kind (for example subsidence, heave, landslip or settlement), been underpinned or provided with other means of structural support or situated on made-up ground, underground workings or within 200 metres of a cliff?

Yes
No

Have the premises or the site previously suffered from flooding, however caused?

Yes
No

To the best of your knowledge, do you anticipate that any of the following events will be held on school premises in the coming year?

Mechanical fairground amusements/rides
Non-static motorised events including racing of any kind
Shooting or archery
Aerial events e.g. flying displays (inc. model aircraft), gliding, ballooning, parachuting, hang-gliding etc.
Elastic rope sports or activities e.g. barfly (jumping) or bungee jumping
Fireworks displays
Armed or unarmed combat sports including martial arts
Not applicable

Are any additional activities carried out by you or other parties?

Yes
No

Please include details of any hazardous activities, such as water sports, abseiling, parachuting, horse riding, go-karting or fireworks displays?

If you are engaged in any hazardous activities, do you always use a specialist service provider?

Yes
No

If you are engaged in any hazardous activities, do you always check that the service provider has public liability insurance in force at the time of the event with a limit of indemnity no less than that sought under this insurance and which includes an ‘Indemnity to principal’ extension?

Yes
No

Is there a documented procedure to ensure all activities are supervised and managed by personnel who are competent and qualified? This includes third parties as well as staff and volunteers.

Yes
No

Are there any special items of art, furniture, china, coins, jewellery, watches, guns and furs and stamp collections you wish to insure on an agreed value basis?

Yes
No

Note: a valuation is required for all items insured on this basis.

Please specify all items with thier values:

Do you have a documented Fire Risk Assessment?

Yes
No

Is the Fire Assessment reviewed annually?

Yes
No

Has the Fire Authority inspected the premises?

Yes
No

Are the premises protected by an intruder alarm?

Yes
No

Please provide details

Please details if you have any resident members of staff including a caretaker who live on the premises?

What checks/precautions are undertaken on the premises during holiday periods?

Do you offer out-of-school clubs and holiday schemes?

Yes
No

Provide details:

Provide location, maximum number of children, age range, number of supervisors

What activities are provided for the children at the out-of-school club or holiday scheme?

Is there a documented programme of preventative buildings maintenance?

Yes
No

Do you ensure a Hot Works Permit system is in place and operated during building works?

Yes
No

Do you ensure any asbestos is professionally removed?

Yes
No

Where asbestos has been present, do you ensure an asbestos management survey is completed by a competent and qualified person?

Yes
No

Has an electrical inspection been carried out within the last 5 years?

Yes
No

Is there a programme for testing portable electrical appliances?

Yes
No

If 'Yes', are records of such tests maintained?

Yes
No

Do you have an inspection contract in place with a bona fide inspection company for all relevant plant and machinery such as lifts?

Yes
No

Do you ensure any improvements required following an inspection are completed?

Yes
No

Do you have an accident book for recording all details of incidents which cause personal injury?

Yes
No

Are procedures in place to ensure employees/volunteers understand the requirement to report accidents?

Yes
No

Are written references taken up for all staff?

Yes
No

For all of your personnel, do you undertake appropriate criminal record checks?

Yes
No

Is there a policy to safeguard children and vulnerable adults which is reviewed and updated annually?

Yes
No

Is there a documented procedure to ensure that all staff have completed and understood training that has been delivered to them taking into account factors such as experience, capability and language?

Yes
No

Are signed training records by trainers/trainees retained on an indefinite basis?

Yes
No

Are there annually reviewed documented Health and Safety policy and procedures in place?

Yes
No

Are these cascaded to all staff including volunteers?

Yes
No

Has any sanction, penalty or corrective action been imposed within the last 5 years as a result of an investigation of the organisation by any regulatory or professional body such as the Health & Safety Executive or Ofsted?

Yes
No

Have you or any principal, governor, director, bursar, employee or representative ever been prosecuted under the Factories Act or any similar legislation?

Yes
No

Estimated cost of rebuilding of the insured property

(Including fixed glass, landlords fixtures/fitting but excluding private dwelling houses)

Estimated cost of rebuilding of private dwelling houses

If applicable

Estimated value of Tenants improvement

Estimated value of the Computers & Electrical Equipment

Estimated value of stock and other contents

(Please specify: machinery, tenants improvements etc)

Estimated value of Stock Deterioration following Refrigeration Breakdown

Gross Profit required to cover

Preferred Indemnity Period

12 months
24 months
36 months

Any Money in Safe or Strongroom in the Premises?

Yes
No

What is the Safe Make? / Model ?/ Description?/ How is it secured?

What's the amount of annual cash carrying by you?

What's the amount of annual cash carrying by security company?

Have you had any loss, damage, injury or liability arisen during the past five years?

Yes
No

Please provide details:

Are you aware of any circumstances which might give rise to a claim?

Yes
No

Any addition information

GDPR Agreement *

I consent to having this form submitted so Prestige Insurance Brokers (UK) Ltd can respond to my inquiry.

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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)