Liabilities Quotation
Wise Insurance Services Limited
30 South Parade
Mollison Way
Edgware
Middlesex
HA8 5QL
020 8905 6000
LIABILITY INSURANCE DETAILS
Title:
Please select
Mr
Mrs
Miss
Dr
Rev
First name:
Surname:
Address:
Post code:
Telephone:
Email:
Company status:
Please select
Limited company
Partnership
Sole proprietor
Trading name:
Trade:
Trading from:
Experience in trade:
years
Limits of indemnity:
Public liability:
Please select
£1 million
£2 million
£5 million
Employers liability:
Please select
£5 million
£10 million
Dangerous activities:
Use of heat:
%
Commercial:
%
Number of employees per section:
Clerical workers:
Working directors:
Partners / proprietors:
Manual workers:
Labour-only sub contractors:
Temporary employees:
Cover start date: