Shop/Office Insurance Quote Request Form
This product is designed to cover a wide range of establishments incorporating a variety of retail premises to cover risks associated with your business relating to the sale of goods and products.
Your Name *
Your answer
Business Name *
Your answer
Telephone number *
Your answer
E Mail address *
Your answer
Your Business
Address of business premises *
Your answer
Postcode of business premises *
Your answer
Full description of business activity *
Your answer
If salon - please describe fully all treatments carried out *
Your answer
Type of ownership *
How long have you owned the business *
Your answer
Location of risk *
Shopping centre with no outer facade: Risks located within a shopping centre with no outer facade. Isolated area: Risk located in an unpopulated area and/or any risk located more than 1km by road from a town centre. Industrial estate: Comprising at least five risk units (industrial units, buildings, companies, etc.) equipped with the corresponding public services (water, electricity, sewerage, etc.) Urban area: Located in an urban centre that is a set of buildings, even if they are part of different suburbs, equipped with the corresponding public services (water, electricity, sewerage, etc.)
Is the property located on the ground floor *
is the property single story *
Year of construction of building *
Your answer
Year of refurbishment
Plumbing & Electrics
Your answer
Gross floor area M2 *
Your answer
Type of building construction *
Buildings cover type *
Sum insured for above *
Your answer
Furniture sum insured *
Your answer
Machinery /Electrical/Computer equipment sum insured *
Your answer
Fixtures and Fittings sum insured *
Your answer
Stock sum insured *
Your answer
How many employees *
Annual wageroll *
Your answer
Annual turnover *
Your answer
Fire prevention *
Do you satisfy the minimum prevention and security measures required by the competent authority?
Security - Are all the access points protected in the establishment? *
Security - Does the insured establishment have an alarm with a maintenance contract and is it connected to a security centre? *
Security - Is the establishment located in a building which only has a ground floor? *
Any other security information
Your answer
Any other information
Your answer
NIE/CIF Number *
Your answer
How did you hear about us ? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy