IMPORTANT NOTE:
The questions contained in this form are designed to give Insurers information regarding your business. It cannot always cover every aspect and it is your duty to disclose all material information to Insurers that may affect the premium or conditions. This form should be completed by you or with your Insurance Broker who will be able to assist you in a professional capacity regarding these points.
Completion of this application is not a guarantee of coverage.Coverage may be offered upon review and approval of the underwriter. If a quotation is put forward it will contain various Terms, Conditions and Exclusions. Insurers strongly recommend you examine the quotation in conjunction with your Insurance Broker before acceptance.
I hereby confirm that the information given above and in any attached sheet(s) is true and correct.