Please complete the below form to get a quotation for your recruitment agency.
About You
Contact Name
Telephone Number
Email
Company Name
Postcode
Building Name/Number
Line 1
Line 2
Town
Business Description
ERN/PAYE Number
Cover Start Date
Material Damage
Sums Insured Required
Sums Insured Required
Buildings
Tenants Improvements
Office Contents
Computers
Portable Equipment
Loss of Revenue
Additional Expenditure
Employers’ Liability Limit of Indemnity Required:
£10,000,000
£25,000,000
£25,000,000
Public Liability Limit of Indemnity Required:
£1,000,000
£2,000,000
£5,000,000
£10,000,000
£2,000,000
£5,000,000
£10,000,000
Professional Indemnity Limit of Indemnity Required:
£100,000
£250,000
£500,000
£1,000,000
£2,000,000
£5,000,000
£10,000,000
£250,000
£500,000
£1,000,000
£2,000,000
£5,000,000
£10,000,000
Turnover - Last completed Financial Year
Temporary Placements on Standard Terms of Business
Temporary Placements on Non Standard Terms of Business
Permanent Placements
Turnover - Estimated Next Financial Year
Temporary Placements on Standard Terms of Business
Temporary Placements on Non Standard Terms of Business
Permanent Placements
Trade split (%)
Clerical
Professional, Technical & IT
Medical, Nursing, Care & Social Work
Domiciliary Care
Drivers
Light Manual (Warehouse & Light Industrial)
Manual (Construction & Heavy Industrial)
High Hazard (Heat, Rail, Aviation, Petrochemical, Nuclear, Asbestos, Mining, Height/Depth work)
Offshore (Oil/Gas Rigs)
Non Standard Contracts: Do you sign any contracts where you assume liability for the supervision, direction or control of the placed personnel?
Yes
No
Drivers Negligence Cover Required:
Yes
No
Legal Expenses Cover Required:
Yes
No
Directors & Officer Liability Cover Required:
Yes
No
Have you had any claims in the past 3 years?
Yes
No
Have any proposer/principal/director/partner under a current or previous title ever been declared bankrupt or insolvent?
Yes
No