Solicitors/Freelance Solicitors & non-reserved legal services application request

What is your full name? *

What is the name of your business (if applicable)? *

What is your Postcode?

What Email can we contact you on? *

Phone Number we can contact you on? *

What best describes your business *

SRA Regulated Business - (or to be)

Freelance Solicitors Business (or proposing to)

Business undertaking non-reserved legal services (or proposing to)

OtherOther

Are you currently Insured for Professional Indemnity Insurance?

Yes

What is your annual income/turnover? (Forecast if new business) What is your annual income/turnover? (Forecast if new business)

By ticking below you agree to the data statement above:

Solicitors/Freelance Solicitors & non-reserved legal services application request

What is your full name? *

What is the name of your business (if applicable)? *

What is your Postcode?

What Email can we contact you on? *

Phone Number we can contact you on? *

What best describes your business *

SRA Regulated Business - (or to be)

Freelance Solicitors Business (or proposing to)

Business undertaking non-reserved legal services (or proposing to)

OtherOther

Are you currently Insured for Professional Indemnity Insurance?

Yes

What is your annual income/turnover? (Forecast if new business) What is your annual income/turnover? (Forecast if new business)

By ticking below you agree to the data statement above:

This form should take no longer than 5 minutes to complete and can save you £££.

We approach and compare terms from a number of specialist Insurers and MGA's

We ensure you obtain the best terms available
We ensure you obtain comprehensive, tailored covers suitable for your security business
We compare the market for you
Many Insurers are not accessible direct- only via Brokers

So, sit back, value your time, and let us take the stress out of negotiating and obtaining terms on your behalf. We have a take up rate in excess of 78% on new business quotes we issue

Accountants Application

All classes Application Form

Recruitment Consultants Form

Design & Construct callback form

Please complete this form to receive a call back from a Design & Constructuct Professional Indemnity specialist - or call freephone 0800 0614262 to receive free advice and assistance.

We access over 30 Professional indemnity Insurers, MGA's and Lloyd's Syndicates and have a wealth of knowledge in this class of business

Contact Number *

Email *

Full Name *

Preferred Time to call between:

To:

Additional notes you may wish to share with us

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Excess Layer Application Details

What is your name? *

Is this enquiry on your own behalf or as an agent of the proposed Insured?

On my/my companies behalf

I am an Insurance Agent

What is your telephone number? *

What is your email address? *

What is the name of your practice? *

What is the renewal date of your insurance?

Please provide a brief description of your enquiry and requirements:

If available, upload your current application and primary quotation here:

Maximum upload size: 10MB

We can provide quotations on many insurers full applications - Please note max 10gb in size.

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Request a RTM Company D&O/Trustees Quotation

Complete this simple questionnaire to obtain a quick quotation without any obligation to purchse. The policy is designed to protect RTM companies and their Directors.
Start the process of obtaining a quote by getting in touch with us today.

What is your full name? *

What is the name of your business (if applicable)

What is your "Block" Address including Postcode?

How many flats are within your block

What Email can we contact you on? *

Business Establishment Date

Phone Number (please do not include spaces)

You confirm that you operate strictly on a not for profit basis and for the benefit of Your members.

Yes

You confirm that you are NOT a professional Property Management Company

Yes

Do you currently insure for combined Directors and Officers/Professional Indemnity cover?

Yes

Who are your current Insurers?

You have procedures in place to control all incoming and outgoing money and carry out checks at regular intervals to ensure all cheques and other outgoing funds have been properly drawn and correctly accounted for

Yes

Do You use a managing agent to hold Your service charge fees and other funds?

Yes

You can confirm that you have obtained a copy of the current Client Money Protection Scheme Certificate from Your Managing Agent.

Yes

WITH REGARD TO YOUR PREVIOUS EXPERIENCE YOU CAN CONFIRM

You, or Your Trustees, Directors, Officers, Committee Members or Managers, are not aware of any claim(s) that have been made in the past, or any circumstance(s) that could give rise to a claim being made in the future, against any of Your Trustees, Directors, Officers, Committee Members or Managers acting in their capacity as a Trustee, Director, Officer, Committee Member or Manager of You or any other company or organisation, involving the following:

Your employees or volunteers (including but not limited to Employment Tribunals
Your customers
Your former or current trustees, directors, officers, committee members, managers or shareholders
Government authorities e.g. Charities Commission, HM Revenue & Customs, Department of Business, Enterprise and Regulatory Reform, Environment Agency
Accountants, liquidators or receivers
or any other person or entity not mentioned above.

This is regardless of whether or not the claim(s) or circumstance(s) has been notified to a current or previous Insurer

We HAVE NOT notified claims and/or ARE NOT aware of circumstances or matters as described

WE HAVE notified claims or ARE AWARE of circumstances or matters as described

Processing of Personal Data:

You give Us or consent to use the information We may hold about You for the purpose of providing insurance and handling claims and to process sensitive personal data about You where this is necessary in compliance
with the Data Protection Act 2018 (DPA 2018). This may necessitate providing such information to third parties.

By ticking below you agree to the data statement above:

Solicitors/Freelance Solicitors & non-reserved legal services application request

What is your full name? *

What is the name of your business (if applicable)? *

What is your Postcode?

What Email can we contact you on? *

Phone Number we can contact you on? *

What best describes your business *

SRA Regulated Business - (or to be)

Freelance Solicitors Business (or proposing to)

Business undertaking non-reserved legal services (or proposing to)

OtherOther

Are you currently Insured for Professional Indemnity Insurance?

Yes

What is your annual income/turnover? (Forecast if new business) What is your annual income/turnover? (Forecast if new business)

By ticking below you agree to the data statement above:

Architects Professional Indemnity Insurance

Excess Layer Application Details

What is your name? *

Is this enquiry on your own behalf or as an agent of the proposed Insured?

On my/my companies behalf

I am an Insurance Agent

What is your telephone number? *

What is your email address? *

What is the name of your practice? *

What is the renewal date of your insurance?

Please provide a brief description of your enquiry and requirements:

If available, upload your current application and primary quotation here:

Maximum upload size: 10MB

We can provide quotations on many insurers full applications - Please note max 10gb in size.

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