Tree Surgery Insurance, Arboricultural Insurance, Tree Surgeon Liability Insurance, Commercial Vehicle Insurance, Fleet Insurance

Arborists Home Insurance

The completion of this form in no way binds the Proposer to purchase insurance, nor does it bind Underwriters to give insurance.

Any information given will only be passed to Underwriters for the purpose of quotation and will be treated as confidential.

Name

Qualifications (If less than 5 years experience please send cv)

Establishment date:

Telephone Number:

Email Address

Address:

Total Gross Fees in last financial year :

UK	USA/CAN	Other	Total

Estimate Gross Fees for next financial year :

UK	USA/CAN	Other	Total

Largest Fee from any one client:

UK	USA/CAN	Other	Total

Full Description of activities and percentage breakdown (estimated if no historical data):

Arboricultural Reports:

Mortgage Reports:

Have any claims in respect of the risks to which this form relates ever been made against the business or any of the Principals, Partners or Directors?

Yes	No

Are any of the Principals, Partners or Directors, AFTER FULL ENQUIRY, aware of any circumstance which might give rise to any such claim?

Yes	No

Has any proposal in respect of the risks to which this form relates ever been declined or has any such insurance ever been cancelled or renewal refused?

Yes	No

If yes to any of the above questions, please give details here:

Do you currently hold professional indemnity insurance?

Yes	No

Any other material information:

Sum of Insurance Required:

I/we declare that, after full enquiry, the contents of this proposal are true and that I/we have not misstated, omitted or supressed any material fact or information. I/we agree that this proposal together with any other information supplied by me/us shall form the basis of any contract of insurance which may be effected. If there is any material alteration to the facts and information which I/we have provided or any new material matter arises before the completion of the contract of insurance, I/we undertake to inform Underwriters.

This short proposal form is not designed to be fully comprehensive, it simply provides the minimum information we need to indicate terms. Please note that in some circumstances this form may not provide enough detail for a firm quote, in which case we will indicate premium, subject to a fuller proposal.

Tree Surgery Insurance, Arboricultural Insurance, Tree Surgeon Liability Insurance - Trust Insurance

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