Select the cover you are interested inCover you are Interested in?* Select All Fire & other specified perils Business Interruption Burglary Money Glass Liability Transit Electronic Computer Breakdown Machinery Breakdown General Property Tax Audit Employee Fraud Motor Vehicles Thank you for your interest, now tell us who this enquiry is forFor us to provide the best response to your inquiry please complete the following*This inquiry is for an existing business with current insuranceThis inquiry is for an existing business without insuranceThis inquiry is for a new business Let's get started with your personal informationName* First Last Email* Telephone*Address* Street Address Tell us about your BusinessName of the business*Describe your businessWhat is the required start date of the insurance? Date Format: DD slash MM slash YYYY Is your business premise address different to your contact address?*YesNoBusiness Address* Street Address Does your business operate from multiple sites?*YesNo Can you give more information about the building where your business is operatedAge of building in yearsWhat is the roof made of?*TileSteelWhat are the walls made of?*BrickworkConcreteSteel on steelSteel on woodWhat are the floors made of?TimberConcreteWhat type of alarm system is installed?*MonitoredLocalNone Tell about Fire & other specified perilsSum Insured Building $Stock $Contents $Others (please specify}Description$ Business InterruptionIndemnity Period6 months12 monthsSum Insured Gross ProfitIncreased Working CostWagesRentOtherOther DescriptionTotalBurglarySum Insured ContentsStockTobaccoCombined contents / stockOtherOther DescriptionMoneySum Insured In TransitOn PremisesOn premises outsideBusiness hoursIn SafePersonal custodyOther $Other DescriptionGlassSum Insured Internal or External Internal - Replacement Value External - Replacement Value SignsLiabilitySum Insured Payout$5 Million$10 Million$20 MillionTurnoverWages PaidStaff NumbersAre you the property owner?YesNoDescribe tenant's businessDo you import products?YesNoProduct DetailsProduct nameCountry of origin TransitOwn VehiclesMaximum Value per loadAnnualised Total CarryNumber of Vehicles #Professional CarriersMaximum Value per loadAnnualised Total CarryElectronic Computer BreakdownDescribe equipment you wish to insureSum InsuredMachinery BreakdownSum Insured RefrigeratorAmount of unitsUnits $Air ConditionerAmount of unitsUnits $OtherAmount of unitsUnits $General PropertyDescribe equipment you wish to insure 'away from your business' (e.g. laptop computers)Sum InsuredTax AuditSum InsuredEmployee FraudSum InsuredMotor VehiclesMake and modelYearRegistration NumberMain DriverDate Of Birth Date Format: DD slash MM slash YYYY The vehicle is garagedNoYesGarage postcodeNCB rating or rating numberUse Business Private Under FinanceNoYesPrior to the Insurer accepting any risk they will require information about any claims over the past 5 years where the claims relate to the type of insurances you wish to take out. Please describe those claims:How would you prefer us to contact you?* Phone Email Email A Copy To MeEmail A Copy To Me Tick for yes CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.