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Office and Surgery Insurance Quote


Please enter your details below to receive an office and surgery insurance quote.

We have established facilities with leading UK insurers to offer you a competitive quote for your office and surgery insurance.

Cover is available for England, Scotland and Wales.

* Required field

Applicant Details
Title:*
First Name (s):*
Surname:*
Date of Birth:
(dd / mm / yyyy)*
 
Contact Details
Preferred contact (day):*
Preferred contact (time):*
Telephone:*
Mobile:
Email:*
 
Additional Information
Risk Address:*
Postcode:*
Company Status:
Trade Type:
Another Trade:
Trading From:
(dd / mm / yyyy)
Time At Address:
(dd / mm / yyyy)
Experience In Trade:
(dd / mm / yyyy)
Bankruptcy / Convictions / Insurance Refused?
Hazardous Substances?
Claims?
 
Main Premises Details
Wall Construction:
Roof Construction:
Floor:
Burglar Alarms:
CCTV: Outbuildings:
Sole Occupancy: Residency:
Self Contained: Unoccupied Areas:
Location Risk Basements / Cellars:
Shopping Centre: Subsidence Cover:
 
Cover Details
Buildings Cover: Business Interruption:
Money Cover: Liability Cover:
Goods In
Transit Cover: 		All Risks:
Personal Accident: Computer Breakdown:
Legal Expenses: Loss Of Liquor License:
 
Contents / Stock Details:
Contents  
Landlords Fixtures & Fittings:
Tenants Improvements:
Computer Equipment:
Other Electronic Equipment:
Documents:
Shop Front:
All Other Contents:
Basis Of Cover:
   
Stock  
Attractive Stock:
Frozen Foods:
Refrigerated Units:
 
Comments / Special Requirements
E-Communications Directive (positive op-in)
Pol-Plan is a division of A-Plan Holdings. Pol-Plan and associated companies may wish to email you, or provide you by other means with promotional material and other products and services that might be of interest to you.
Tick this box if you prefer not to receive such information.