Your Information

    Business name
    Business Address
    Description of business activities
    Number of years in business
    Contact Name
    Phone Number
    Email Address

    Management Liability

    Annual turnover
    Number of Employees
    Entity Type
    Limit of Indemnity
    Have you sustained any management liability claims in the past 5 years? Including claims agaist directors or officers, fees or penalties, attendances or inquiries, cliams from employess, tax audits or similar?

    Are there any other facts that an insurer should be aware of?

    If yes to either of the above two questions, please advise details