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Proposal Form - Alarm & Fire Protection Industry
If you do not understand any terms in this form please contact us for further information or visit
1. PROPOSER DETAILS
Full name of Proposer including all trading names, group companies and subsidiaries that are to be covered by the policy
Telephone Number and Person to Contact
Please list the names, dates of birth and background of all the Company Directors/Partners including number of years experience in the Security Industry.
Date of Birth
No. of Years
Details of Experience
If you require Employers’ Liability cover, please supply your Employer PAYE Reference(s). (This information is mandatory. Employers’ Liability cover cannot be provided without it. Where you have more than one PAYE Reference, please advise each one making it clear which company they apply to). Further information can be found at
If you do not have a PAYE Reference, please confirm that you are exempt and give the reason.
Are you a member of any Regulatory Body or Trade Association?
If not already a member have you applied or is it your intention to apply for membership of any Regulatory Body or Trade Association?
Do you have a Risk Management policy in force that complies with The Control of Asbestos Regulations 2012?
Are you SIA Approved Contractors?
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Please answer all questions fully and carefully. There is a duty to disclose all material facts. Material facts are those that affect the judgment of a prudent Underwriter.
The proposal form and the information you provide forms the basis of the insurance policy you are purchasing and therefore is extremely important. Full disclosure should eradicate many issues at the time of a claim being made on the policy.
Full Name of Proposer
If a Limited Company please insert this name in the full name of the Proposer.
If a sole trader – please list your name in the full name of the Proposer and any Trading Name below this.
If a partnership, list all partners’ names in Full Name of Proposer and any Trading Name in the next box.
Please make sure that you list every activity you undertake to ensure we cover your activities correctly and prevent any issues at the time of making a claim ie Event Stewarding, Door Supervision work Close Protection etc.