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

Address 1:

Postcode 1:

Address 2:

Postcode 2:

Contact Name:

Email Address

Telephone:

Mobile:

Trade Description

Years Established

Current Insurer

Renewal Premium

Renewal Date

Your Website

Your Email

Operators Licence

No of Drivers

Under 25: Over 65 :

Do you employ agency / temporary drivers or foreign nationals?

Yes No

No of Drivers with:

Criminal Convictions:
Motoring Convictions:
Disability:
Convictions Pending:

Further details for any of the above questions ie. ages of drivers and conviction details

Do you check licences every 6 months?

Yes No

Details of any driver training undertaken

Do you provide a driver handbook?

Yes No

Do Non Employees Drive?

Yes No

Cover Required

Carriage of Goods:

Own Goods:
Hazardous Goods:
Other:

Any foreign use:

Do you operate overseas:	Yes No
If yes days within the EU:
Days outside EU:

Claims experience:

Current Year
No of vehicles
No of Claims:
Cost of Claims:
2 Years ago
No of vehicles
No of Claims:
Cost of Claims:
3 Years ago
No of vehicles
No of Claims:
Cost of Claims:

Make and model

Type

Engine (cc)

Year

Value (£)

GVW

Cover

N.C.D.

Please check the details entered within this form carefully as they will form the basis of your insurance cover. Failure to disclose material facts or disclosure of false information could invalidate your insurance or result in the policy not operating properly or a claim not being paid. By submitting this form you agree to this condition.

Fleet Insurance, Plant And Tools Insurance, Professional Indemnity, Personal Accident Insurance, Self Employed Liability Insurance, Shops And Offices Insurance - Trust Insurance

Home page :: About Trust Insurance :: Tree Surgery Liability :: Fleets :: Tools / Engineering :: Professional Indemnity :: Personal Accident :: Self Employed Liability :: Shops and Offices :: Commercial Insurance :: Marine Insurance :: Close Protection :: Contact :: Links :: Motor Insurance :: Legal Protection ::
How to make a claim :: Terms of Business