Management Liability proposal form

Directors & officers, employment practices liability, corporate legal liability and crime cover.

Fields marked * are required. Anything you're unsure about, leave blank and we'll pick it up with you.

Your name

Business name

Correspondence address

Contact number

Email address

Business description

Company registration number

Year established

Annual turnover

Total assets

Net profit last financial year

Number of directors

Number of employees

Any overseas subsidiaries?

Any US listings or operations?

Directors & officers limit

Employment practices liability required?

Corporate legal liability required?

Crime / fidelity cover required?

Pension trustee liability required?

Any current or threatened litigation?

Any employment disputes in the last 3 years?

Any planned redundancies, mergers or acquisitions?

Details

Any claims in the last 5 years?

Claims details

Date, type and amount of each claim

Current insurer

Renewal date

Expiring premium

Is there anything else we should know?

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