Professional Indemnity for Surveyors

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1. Name and Address of Business
Contact Name: *
Business Name:
Address 1:
Address 2:
Address 3:
Telephone: *
E-mail: *
Date Established:
2. Please provide details of each partner as follows:
Name Qualification Years experience
3. Please give an approximate percentage of your fee income split according to type of work
Type of work % of your
fee income
Building Surveying
Residential Estate Agency / Letting Agency
Commercial Estate Agency
Residential Property Management
Commercial Property / Land Management
Rent Reviews / Lease Renewals
Land / Mineral / Hydrographic Surveying * Please ask for a supplementary questionnaire
Planning & Development Consultancy (without detailed plans)
Project Co-ordination
Project Management
Architectural Work
Residential Surveys / Valuations for lending purposes
Other Residential Surveys / Valuations
Commercial Surveys / Valuations for lending purposes
Other Commercial Surveys / Valuations
4.Please state the largest valuation for lending  purposes carried out within the last 3 years for each of the following:
Residential Survey Reports
Other Private Clients
Commercial Clients
Other - Specify Below
5. Please give amount of income for the last 3 financial years plus estimate for the coming financial year.
Year Income
6. Current Insurance Information
Name of current Insurer
Expiry Date of current policy
7. Have any claims ever been made against you?
If so please give details:
8. Are you aware of any circumstances that may give rise to a claim?
If so please give details:
9. Limit of Indemnity Required, please select preference/s

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

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FSA - Financial Services Authority regulated by the FSA.