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Proposer details

Status of proposer?:

Title:

Please select from the drop down:

First Name:

Surname:

Trading Name:

Company Name?:

A subsidiary company, is a company that is completely or partly owned by another company

Number of subsidiaries to be covered by the policy?:

Company 1:

Company 2:

Company 3:

Company 4:

Company 5:

Company 6:

Company 7:

Company 8:

Company 9:

Company 10:

Partnership name?:

Partner’s names separated by commas?:

Please enter your income / takings prior to working out your annual profit.

Turnover?:

What is your contact telephone number?:

Giving us your email address will enable us to send you details of your quote. We guarantee we will not share you email address with anyone else unless give us permission. Please see our Privacy Statement for full details.

Email address:

By supplying data you are agreeing to our Terms of Business and our Privacy and 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.

ERN (Employer Reference Number(s)) or employer PAYE reference is used by the HM Revenue and Customs to idenify your firm. This is in order to definitively identify at which firms an employee has worked in the event of a claim significantly after the event.

You can select 'Later' if you do not have this but we will require it within 14 days as the insurers may cancel your policy.

When will you provide employer information?:

Only a very tiny minority of employers that do not pay salaries through PAYE are exempt from providing an ERN. All employers who pay PAYE must provide an ERN.

Is this company exempt from having an ERN?:

The ERN can be obtained from mandatory HMRC documentation, including P45, P60, P11/D and most payslips. Numbers allocated since 2001 will mostly have a format of NNN/Aznnnnn – (NNN is the 3 digit number for the Tax Office catchment area / Aznnnnn is the ERN, Az being alpha, nnnnn being numeric). In the majority of cases, numbers issued prior to 2001 will have a format of NNN/Annnnn.

Employer/PAYE Reference Number?:

Date business established:

Please provide the number of years experience that you have running this retail business

Please advise the number of year’s experience the proposer has in their business?:

Start date:

Quote reference

Please use your unique quote reference in all correspondance with us.

Ref No: 2124227334127

Need help and advice?

If you are unsure about our quotation system request a call back.

CETA Insurance Ltd - registered office: CETA house, Cromwell business park, Chipping Norton, Oxon, OX7 5SR
CETA is authorised and regulated by the Financial Conduct Authority no. 307824.
If you have any problems please call: 01608 647601 with your reference 2124227334127
You can also recall your quote at a later date if you keep note of your email and reference.