Page 1 of 4
Please complete all required fields!
Please fill out contact details for each partner below...
Please let us know about your business
If you undertake more than one activity type in your business please select secondary and tertiary options and let us know the percentages
For example Builder 70% Groundworker 30%
Occasionally we send out useful information or requests for information to either help you grow your business or to enable us to serve you better. We keep emails to a minimum and only send out specific content related to your business.
Your Insurance Requirements
Please provide a breakdown of your turnover below
Employers’ liability insurance is a legal requirement if you employ any of the following: Full-time - part-time employees / Self-employed contractors you hire / Temporary staff, apprentices and volunteers / People taking part in work experience or training schemes
NUMBER OF PERSONS REQUIRING COVER
Activity Specific Questions
What percentage of your work is carried out at the following locations?
Depth, Height & Heat Work
Health and Safety & Risk Details
Have you or any partner or director:
--- IMPORTANT ---
No Liability is accepted by the insurers until the risk is accepted and the premium paid.
Please ensure all answers provided are correct and accurate before submitting for a quote. Should you have any questions or require any assistance contact our brokers on 01702 225 440 - FML Insurance Services
Copyright Primo Plc 2018 | All Rights Reserved
Primo plc is registered in England and Wales, Reg No 1008700 at Cumberland House, Baxter Avenue, Southend-on-Sea, Essex SS2 6HZ Tel: +44 (0)1702 225400
Primo Plc is authorised and regulated by the Financial Conduct Authority.