OFFICE INSURANCE ISSUE COVER REQUEST |
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Thank you for your interest in our Royal & Sun Alliance Insurance plc office insurance scheme, to enable cover to be issued please complete your details below: |
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| Company Name (if applicable): |
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Contact Name (inc Title): |
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| Office Address: |
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| Postcode: |
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| Contact Number: |
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| E-mail Address: |
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| Business Activities : |
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OFFICE AND RISK DETAILS |
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| Are The Premises Occupied Solely As Offices? |
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| Details if, NO: |
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| Does the Office Contain an Atrium? |
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| Details if, YES: |
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| Is all work undertaken of a white collar/clerical nature? |
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| Details if, NO: |
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3 Years Claims Experience
Please give full details of all claims and losses irrespective of whether a claim has been made including date, circumstances and payments made/outstanding
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| Name of Current Insurer (if applicable): |
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| If You Are Currently Insured, is any Long Term Agreement/Undertaking in Force? |
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COVER REQUIRED |
| Total Contents Sum Insured |
Total Annual Premium
(Premium + IPT @ 5% + Fee) |
| up to £7,500 |
£219.05 + £10.95 IPT + £20 Fee = £250 |
| up to £10,000 |
£257.14 + £12.86 IPT + £20 Fee = £290 |
| up to £15,000 |
£304.76 + £15.24 IPT + £20 Fee = £340 |
| up to £20,000 |
£376.19 + £18.81 IPT + £20 Fee = £415 |
| up to £30,000 |
£490.48 + £24.52 IPT + £20 Fee = £535 |
| up to £40,000 |
£638.10 + £31.90 IPT + £20 Fee = £690 |
| up to £50,000 |
£780.95 + £39.05 IPT + £20 Fee = £840 |
| The insurance premiums above are based on the total business contents sum insured however the cover provided includes contents, business interruption, loss of money and liabilities. |
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| Please Select the Level of Cover You Require: |
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| Details of Any Other Cover Required: |
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| Date Cover Required From: |
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| Method of Payment |
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| If Other, please give details |
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| Any Additional Information/Comments: |
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Please press the submit button below for cover to be issued |
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