Work From Home Quotation

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Work From Home Quotation

To help us provide you with out best possible quotation, please complete as much of the following quotation form as you can.

Title
Name
Trading Name
Address
Address 2
Address 3
Address 4
Postcode
Telephone
Email
Occupation/Trade
Years Trading
Claims/Losses in the last five years
Age of Building
Is the property a listed building
Construction of walls
Type of roof
If flat roof:
Area of flat roof	square meters
Type of flat roof
Type of Alarm
Floor area occupied by business	%
Buildings
House Contents
Presonal possessions (away from premises)
Business Electronic Equipment
Business Electronic Equipment (single item limit)
Computer Equipmen (Total)
Computer Equipment (single item limit)
Business Contents
Business Contents (away from premises)
Documents
Stock
Money
Legal Expenses
Public Liability
Employers Liability
Projected Annual Turnover
Number of principals / partners
Number of directors
Number of employees
Number of principals / employees working away from premises
Ever been declared bankrupt or insolvent?
Been convicted of any criminal offence, which is not 'Spent'?
Had any County Court Judgements entered in the last six years?

WestPennine Insurance Services Group is the trading name of WestPennine Insurance Consultants Limited. Registered Office 84 Church Street, Littleborough. OL15 8AU. Registered in England number 939318
Telephone 01706 378990 Fax 01706 371417

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