Atlas Insurance | Public Liability Insurance Quote Form

Public Liability Quote Form

Request a quote form for Public Liability Insurance

Name

Preferred phone number

First Line of Address (Business)

Postcode

Name of Business

Type of company

Number of years trading

Expected annual turnover

Number of people employed

What is your main trade?

How much Public Liability Cover do you require?

What is your company's wage roll for manual activities?

What is your company's wage roll for heat work?

What is your company's wage roll for clerical activities?

How much is paid out to bona-fide sub contractors on an annual basis?

Do you require employer's liability cover?

Yes

How much cover is needed for business buildings?

How much cover is needed for office equipment?

How much cover is needed for business stock?

How much cover is needed for tools?

How much cover is needed for Contractors All Risks?

How much cover is needed for hire in plant?

Please tick those that apply to you/your business

We have dealings in the USA

We have past claims regarding occupational diseases or conditions

We work around asbestos

We need professional indemnity advice or cover

Subsidence cover is needed for our premises

We need revenue protection

Details of any previous claims

Where did you hear about us?

Voucher Code

Are you happy to receive further product information from Atlas?

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