Shop proposal form

Stock, contents, glass, money and liabilities for retail premises.

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

Premises address

Do you own or lease the premises?

Year built

Wall construction

Roof construction

Is the building listed?

Any history of flood?

Any history of subsidence?

Security in place

What do you sell?

Annual turnover

Is there residential accommodation above?

Is it occupied?

Any cooking or hot food on the premises?

Do you sell alcohol or tobacco?

Do you sell online or by mail order?

Buildings sum insured

Only if you own the building

Stock sum insured

Maximum stock value at any one time

Contents & fixtures sum insured

Glass cover required?

Business interruption sum insured

Money on premises

Public liability limit

Employers liability required?

Number of employees

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?

Your details go straight to our team. We'll never share them with anyone other than the insurers we approach on your behalf — see our privacy policy.