Public and Employers Liability Insurance

Please complete the following form and we will contact you with a quotation. Please complete as much information as possible. The form will take just two minutes to complete. Alternatively you can complete the first section and we will ring you to take the rest of the information.

As specialists in arranging cover for cleaning contractors, our policies automatically include cover for damaged to the items being cleaned and treatment risks.

Contact Details
Contact name     Email address  
Business name     Phone number  
Building number     Postcode  
Current Insurance Details
Public Liability limit     Current insurer  
Target premium     Renewal date  
About your business
Year established     Company Type  
Annual Turnover     Manual wages  
Are you a member of any trade association/federation (give details if YES)  
Details of the cleaning work undertaken (please provide split)
Domestic %     Shops/Offices %  
Light industrial %     Heavy industrial %  
Pressure washing %     Window cleaning %  
Do you/your business undertake any other cleaning activities?  
If YES please provide further details and advise the percentage of your turnover this relates to.
Do you require cover for your machinery whilst on site/in your vehicles?  
Do you require cover for temporary removal of customer's property  
If YES, what is the maximum value of any item removed for cleaning?  
If you have have made any claims under your current insurance please provide details below.
   
   
   
   

 
   
 
 
 
 
Allied Insurance Services Ltd are authorised and regulated by the Financial Services Authority. Our reference number with the FSA is 309497. Further information about our registration can be found at www.fsa.gov.uk/register