oneinsure - groundworkers insurance quote

PLEASE ANSWER ALL QUESTIONS FOR A QUICK AND COMPETITIVE QUOTE

Your Details »
	Surname
	First Name
	Date of Birth	(dd/mm/yy)
	Marital Status
	Address


	Postcode
	Contact Phone No.
	Mobile Phone No.	- please give a number to contact you on as we will call you as soon as we receive this quote (in working hours)
	When would you like cover to start	Straight away In the next week 2+ more weeks
	Target quote / renewal price	£ - a target price will help us when we refer to our underwriters
	E-mail address
Liability Details»
	Sole Trader / Limited / Partnership	Sole Trader Limited Partnership
	Trading As....
	Year started trading
	Total years experience in industry or trade
	Give details of any association or membership (if any)
	Type of premises worked on (tick all that apply)	Private dwellings Commercial buildings Industrial buildings All other work
	% of turnover on	% Private dwellings % Commercial buildings % Industrial buildings % All other work
	Maximum depth worked to	metres
	% of depth	% up to 1 metres % up to 2metres % up to 3 metres % Over 3 metres
	Level of Public Liability Cover	£1 million £2 million £5 million
	Employers Liability	£10 million indemnity included free.
	No. of principals & employees	principals employees
	Annual Wages (enter all that are applicable)	£ 02/03 £ 03/04 £ 04/05
	Annual Turnover (enter all that are applicable)	£ 02/03 £ 03/04 £ 04/05
	Estimated Turnover for next 12 months	£ 2005/06
	Do you undertake contract work	Yes No
	Details of public liability or employers liability claims (if any made)