Licensed Premises

Full Names

If you're a sole trader or partnership please enter Mr Joe Bloggs T/a The White Horse

If you are currently uninsured please enter today's date

Enter amount in £ or N/a
Reinstatement Value Buildings  
Trade Contents  
Fixtures and Fittings  
Domestic Contents  
Wines and Spirits  
General Stock  
Electronic Office Equipment  
Money on premises during open hours  
Money in a safe overnight  
Goods In Transit  

Please enter make of safe if you require more than £2000 limit.

No. of Staff  
Wage Roll  
Public Liability  
Employers Liability  
Legal Expenses Required?  

Public liability-please choose £2 or £5 million. Employers liability is always £10 million

Door Staff?  
How many times per week?  
Opening days/times  
Year of Build  
Location i.e High Street  
Brick or stone built?  
Listed? I.e Grade 2  
Central Heating Type  
Floor construction i.e Timber  
Flat Roof area %  
Property ever affected by flood  
Letting Rooms  
Childrens Play Area?  
Type of deep fat fryers on site  
Who lives on the premises  
Type of Burglar Alarm  
Type of Fire Alarm  
Door locks on external doors  
Window locks on opening windows  
Is CCTV recorded?  
ATM on the premises?  

Burglar alarm i.e Audible only/Redcare/Dual com

Any Adverse Credit History
Any claims in 5 years?
Any pending claims?
Ever had insurance cancelled

Adverse credit is bankruptcy, insolvency, CCJ's etc.

Dates, amounts, settlement dates etc. General Circumstances