Your Information

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

    Professional Indemnity

    Limit of Indemnity
    Annual turnover
    Number Of Employees
    Do you use contractors?



    What do contractors do for you?
    Do contractors have their own Professional Indemnity insurance?



    Annual payments to contractors
    Are you professional qualified for the service being provided?



    Do you have more than 3 years experience in your professional field




    Have you sustained any Professional Indemnity claims in the past 5 years?



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



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