Please complete the information to get your office quote 
 
* Cover will not apply to Offices that are operating from residential premises *
Policy Start Date
Date from which cover is to start
Day Month Year
Proposer Details
Title
Other Title
Forename(s)
Surname
  Business Postcode    Select the full address
  Address
   
   
   
What is your email address
By supplying data you are agreeing to our Terms of Business and our Privacy Security Policy
By completing the details on this application, you are allowing us to contact you about this quotation to ensure any quote you have been offered meets your insurance needs and has been offered at our most competitive premium.
We would like to offer you further information regarding our products and services via email or text message. (Please see our Privacy Notice to learn more) If you do not wish to receive this information, please tick here
I can confirm that the client has agreed to the Privacy and Security Notice and Terms of Business and has given consent for me to submit their data to CETA Insurance in order to obtain a quotation.
What is your contact telephone number?
Please select Business Status of the Proposer
Trade
Turnover
Contents
Business Equipment (£) non electronic (e.g desks)
Computer Equipment sum insured
Electronic Equipment (£)
Business Files (£)
Buildings
Buildings cover (£)
Subsidence cover required?
Terrorism cover required?
Security
If the property is protected by a NACOSS/SSAIB approved, installed and maintained operative burglar alarm? Please select from the list.
What level of police response
Are the premises occupied overnight by you or your employees?
Please select the level of CCTV at the property
Does the premises have a sprinkler system?
Is the risk located within a modern, enclosed shopping centre?
Claims
Have you suffered any loss or damage within the past 5 years (whether or not a claim was made)?
  Cause Amount (£) Area Claim Occurrence Date
Claim 1            
Claim 2
Claim 3
 
Additional Claim
Information
How long have you been in residence at this address?
How many years have you continuously been insured without suffering any claims or losses?
 


Your unique quote reference is 2122284810729
Insure My Liability is an operating name of CETA Insurance Limited, which is authorised and regulated by the Financial Conduct authority. © CETA insurance Limited 1999-2015