Quote for Trailer & Liability Insurance

Quote for Trailer & Liability Insurance
Inception Date*

DayMonthYear
Date
What is the Business Status? *
Proposers name and trading name in full *
Title*
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Correspondence Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Business Description*
If applicable please add another Business Description
If applicable please add another Business Description
If Other
Value of Trailer, Including all permanent fixtures & fittings*
Trailer Cover*
Trailer Manufacture*
Trailer Model*
Year of Manufacture*
Garaging Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Overnight Location*
Minimum Security Hitchcock & Wheel clamp Fitted?*

YesNo
Is a Thatcham Approved Tracker Fitted?*

YesNo
Limit of Public/ Products Liability *
Employers Liability Insurance £10 Million*

YesNo
Estimated annual Turnover *
If More*
Registered with Environmental Health*

YesNo
Employer PAYE Ref (Leave blank if Exempt)
Maximum No. Employees*
NCASS Member*

YesNo
If Yes*
What is the maximum number - Size of Gas Bottles? E.g 2 x 19kgs
Have you more than 40 litres of oil or equivalent cooking medium?*
Do you have a suitable Fire Extinguisher and Fire Blanket?*

YesNoNot Applicable
Hog Roast (Is the meat on a spit whilst being cooked)?*

YesNoNot Applicable
Will Tables & Seating be Provided? *
If More
Number of Covers
Has any insurer cancelled, declined to renew or declined to provide cover for any risk?*

YesNo
Have you or any partner in the business ever been convicted of or charged with a criminal conviction?*

YesNo
If Yes*
Have you or any partner/director in connection with your business been declared bankrupt or insolvent?*

YesNo
If Yes*
Have you or any partner/director made any insurance claim, been claimed against or suffered any event which may lead to a claim for any of the insurance proposed (whether insured or not) in the last five years?*

YesNo
If Yes*
Any Additional Information?
Once this has been Completed press send, details will be sent to Giles Insurance Consultants, we aim to get back to you within 48 hours.
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