Contractor & Tradesman Insurance Quote Made Simple and Easy

Contact name

Phone

Insurance renewal date or start date

Current Insurer

If applicable

Premium

If applicable

Business Name

Trading name

Status of entity

Date business established

Company registration number

If applicable

Primary trade description and number of years continuous experience in this trade

Secondary trades description and number of years continuous experience in this trade

If applicable

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

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 Proposer, Director or Partner or Business or its Subsidiary Companies if they have ever:

had any conviction or criminal offences which are not spent under Rehabilitation of Offenders Act or has any prosecutions pending
been declared bankrupt or insolvent or been the subject of bankruptcy proceeding or insolvency proceeding
been served with a prohibition or improvement order under Health and Safety Legislation
been the subject of a recovery action by Customs and Excise or the Inland Revenue
been disqualified from holding company directorship
Had CCJ and Sheriff Court Decrees
Not applicable

Select any of the following that apply to any Proposer, Director or Partner or Business or its Subsidiary Companies if they have ever:

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

Do you have a dedicated business premises?

Business address (Property Name, Building Number, Street Name, Town and Post Code)

Is the correspondence address the same?

Correspondence address (Property Name, Building Number, Street Name, Town and Post Code)

Does the business undertake any gas work?

Please provide details:

Does the business undertake any electrical work?

Please provide details:

Maximum height worked at (metres)

Maximum depth worked at (metres)

Does the work involve discharge of fumes, effluent or anything of a noxious nature?

Please provide details:

Does the work involve the use of substances which could be harmful to health?

Please provide details:

Do you use any heat equipment?

What Heat equipment is being used:

Angle Grinders
Blow Lamps
Blow Torches
Flame Cutting Equipment
Hot Air Guns
Soldering Equipment
Welding Plant or Equipment
Other

Estimated Business Turnover (next twelve months)

Does the business have any employees?

Total number of employees?

Employer PAYE No:

Type of staff - add all staff in the business:

Permanent staff
Temporary staff
Bona Fide Sub-Contractors
Labour Only Sub-Contractors
Other

Number of permanent staff:

Number of Bona Fide Sub-Contractors

Number of temporary staff:

Number of Labour Only Sub-Contractors

Please specify and provide the numbers of staff:

Estimated Wageroll (next twelve months)

Are any employees paid below PAYE threshold?

(inc. LOSC, trainees, apprentices)

Reinstatement sum of the machinery, plant items and other business equipment

Do you hire in any machinery, plant items or other business equipment?

Hiring charges:

Maximum reinstatement sum of hired plant or other equipment

Reinstatement sum of portable hand tools

Reinstatement sum of the business stock

Does the business provide services on contracts?

Maximum Value any one contract:

Largest single fee:

Does the business undertake design work?

Did you make any insurance claim in the last 5 years?

Claim history within the last 5 years:

If applicable, please provide: The date of the claim, Cause of the Claim, The Claim Amount & the Outcome:

Any addition information?

GDPR Agreement *

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

Fact find questionnaire

for Tradesmen & Contractors

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