Public 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.

Contact Details
Contact name     Email address  
Business name     Phone number  
Building number     Postcode  
About your business
Year established     Company Type  
Are you a member of any trade association/federation (give details if YES)  
Work undertaken
Domestic Cleaning  
Office/Shop/Hotel Cleaning  
Builders Cleans  
Factories/Warehouse Cleaning  
Pressure washing  
Window Cleaning  
Other (please specify)  
Insurance Policy Details
Current insurer     Current premium  
Renewal date     Public Liability Limit  
Do you require cover for your tools/equipment? If so, to what value  
Do you require cover for damage to contracts/treatment risks?  

 
   
 
 
 
 
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