Product Liability Insurance Quote Form

To obtain your quotation please submit the on-line form below * = required field

To speak to an advisor phone 01332 299285

1. Company Information
Contact Name: *
Company Name:
Nature of Business:
Address 1:
Address 2:
Address 3:
Town:
County:
Postcode:
Telephone: *
Date established
E-mail: *
2. Total turnover for the last complete financial year
£
3. Estimated Annual Turnover
£
4. Please describe the type of product supplied
5. Are your products imported? If so from what countries?
5. Are your products exported to USA or Canada?
6. Please give details of any web site that might describe the products
7.Product Liability Limit required
8. Any claims in the last 5 years?
If so please give details:
Our quotation will assume the following:
1. That there are no agreements for claims to be met under USA jurisdiction  
2. That there are full recovery rights against the product manufacturer  
     

If you experience problems with the on-line quotation form please contact us

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FSA - Financial Services AuthorityFinancial Services Agency number - 447154