Willis Temby | Business Insurance

Needing Business Insurance?

Complete the form below and a representative from Willis Temby will get in contact with you as soon as possible.
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What is your name?

What is your e-mail address?

What is your contact number?

Please enter your legal entity & trading name (list all entities to be insured).

Please enter the primary business address.

Are you the owner of the building at this address?

What does your business do? (for property owners, please input all tenant's business activities)

What date are you needing cover to start?

Is Public & Products Liability cover required?

If yes, what limit of liability are you requiring?

How many staff (including you), do you employ?

What is your estimated turnover (revenue, gross income) for the next twelve months? (for property owners, enter the rental income)

Do you require building cover?

If yes, what is the replacement value of the building?

Is the building heritage listed?

What is the construction of the walls of the building?

What is the construction of the roof of the building?

What is the construction of the floor of the building?

What alarm system is installed?

Do you require contents cover? (including cover for stock)

If yes, what is the replacement value of all of your contents (including stock)?

When was the building constructed? (approximate)

Do you require cover for business interruption?

Do you require cover for theft?

Do you require cover for money?

Do you require cover for glass breakage?

Do you require cover for portable items? (mobile phones, laptops)

Do you require cover for machinery and/or electronic equipment breakdown?

Who is you current Insurer?

Who is your current Insurance Broker?

How many Business Insurance claims have you had in the last five years?

Are you aware of any existing circumstances that may lead to a claim under a new policy?

Have you been charged with or convicted of any criminal offences in the past 10 years?

Have you had any insurance refused or cancelled or any special conditions imposed by an insurer?

Need to leave any additional information?

I have read and accept Willis Temby's Privacy Policy.

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Business Insurance.

Needing Business Insurance?