Professional Indemnity Insurance for Accountants - Quotation Form  - For an informal chat call 01332 607056

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

1. Name and Address of Business
Contact Name: *
Business Name:
Address 1: *
Address 2:
Address 3:
Town:
County:
Postcode:*
Telephone: *
Fax:
E-mail: *
Date Established:*
2. Please provide details of each partner as follows:
*Name *Age *Qualification *Years experience
3.Total fee income (Excl VAT), please indicate the split as follows:
  Last Complete Year Current Year Forthcoming Year
Year end
Total Fees
Average Fees
Largest Fee
4. Fee Income - Please give an approximate percentage split according to type of work:
Type of work %
Audit, Accountancy, and Company Tax for quoted companies
Other Audit and Accountancy
Tax Returns
Tax Advice
Management Consultancy
Secretarial and Share Registration
Excecutorships and Trusteeships
Insolvencies, Liquidations and Receiverships
General Insurance Commissions
Stock Exchange Commissions
Commissions from investment business regulated under Financial Services Act
Directorships
Computer Consultancy
Mergers, Acquisitions, Disposals
Other Consultancy only
Other Work - please give full details below
5. Current Insurance Information
Name of current Insurer
Expiry Date of current policy
6. Have any claims ever been made against you? *
If so please give details:
7. Are you aware of any circumstances that may give rise to a claim? *
If so please give details:
8. Limit of Indemnity Required, please select preference/s*
£100,000
     

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

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