oneinsure - uk surgeries insurance

We've team up Coversure Insurance to provide you with an extensive surgery policy that will cater for ALL TYPES of surgeries.. Please fill out the below form for a complete surgery package. Remember to give as much detail as possible for a more reliable and accurate quote.

SURGERY INSURANCE PACKAGE

Insured Name 1

Insured name 2

Surgery Name

Postal Address

Post code

E-mail address

Contact telephone number

- 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

Trade

INSURED ITEMS DETAILS

Insured Items	Sum Insured Value	Insured Items	Sum Insured Value
Buildings	£	Money Transit / Premises DBH (i.e. taking money to the bank During Business Hours)	£
Tenant's improvements (i.e. fixed additions wil be left behind when the tenant moves out central heating, light fittings, air conditioning)	£	Money in safe	£
12 Mths loss of rent payable	£	Goods in Transit	£
Contents (exc E B E) (I.e. business fixutre and fittings such as shelves, counters)	£	Deterioration of stock (chilled/frozen goods as a result of rise/fall in temp)	£
Electronic business equipment (i.e. tills, visa/debit machines)	£	Fixed external glass	£
Stock of drugs / medicines	£	12 mths business interruption	£
Public liability	£	Employers liability	£

ADDITIONAL QUOTE DETAILS

Any losses in last 5 years

Yes No

Number of losses

Value of losses

Type of losses

No Claims Bonus Discount

Bells Only Alarm

Yes No

Digi Comm Alarm

Yes No

Redcare Alarm

Yes No

Grills and/or shutters installed

Yes No

Insured lives on premises

Yes No

Is there an ATM cash machine on site?

Yes No

Felt Roof as a % of total roof area

Subsidence Damage Coverage

Yes No

Accidental Damage Coverage

Yes No

Thank you for taking the time to complete our Quote Enquiry Form.