Recruitment & Employment Agencies Liability Insurance Quotes

Please insert your details below and one of our commercial advisers will contact you shortly with a liability insurance quotation.

This form is designed for quotes for Public Liability & Employers Liability Insurance for Recruitment Agencies or Employment Agencies only.

If you have any problems with completing this form, please phone us on 01623 641 386 for assistance.

Personal/Company Details
Proposer's Full Name(s): (enter sole trader's name or all partner's names if a partnership)
Contact Name: (if different to proposer's name)
Limited Company Name: (if operating as a limited company)
Trading Name: (if different to the above)
Trading Status:	- - - - - - Please Select - - - - - Sole Trader Partnership Limited Company Limited Liability Partnership Unincorporated Association
Correspondence Address:
Postcode:
Daytime Telephone Number:
Mobile Telephone Number:
*E-Mail Address:
*Please note that your email address will only be used to provide you with your quote and not for any other marketing purposes.
General Information
Have you, or any other partner or director ever been convicted of or charged (but not yet tried) with any criminal offences other than a motoring offence?	Yes     No
If yes, please provide details: (e.g. type/reason for conviction(s), date(s) of conviction(s), details of any fines and/or community service (if applicable), length of custodial sentence(s) (if applicable),etc.)
Has any insurer ever refused renewal, declined or cancelled cover or imposed any special terms?	Yes     No
If yes, please provide details: (e.g. details/reason for any insurance refused/cancelled/special terms imposed, etc.)
Have you, or any other partner or director ever had any County Court Judgements (CCJ's) / sheriff decrees / IVA's or ever been declared bankrupt, or involved in a company which has become insolvent or which has gone into liquidation, receivership or administration?	Yes     No
If yes, please provide details: (e.g. date(s) of bankruptcy/insolvency/CCJ/IVA, amount of bankruptcy/insolvency/CCJ/IVA (£'s), date bankruptcy discharged / date CCJ/IVA settled, circumstances of bankruptcy/insolvency/CCJ/IVA, etc.)	Please note we are unable to provide a quote if your bankruptcy is not discharged or your CCJ / IVA remains outstanding or unsettled.
Have you, or any other partner or director ever been prosecuted or served a prohibition order by the Health & Safety Executive?	Yes     No
If yes, please provide details: (e.g. date of prosecution(s), details of offence(s), etc.)
Have you, or any other partner or director ever been the subject of a recovery action from HM Customs and Excise or the Inland Revenue?	Yes     No
If yes, please provide details: (i.e. name of person or business subject to recovery action, date of recovery action, and reason for the recovery action)
Business Activities
Please answer 'Yes' to the following that best describe your business activities:
Recruitment Agency Employment Agency RecruitmentConsultant	Yes     No Yes     No Yes     No
Description of any other activities you may carry out other than those shown above:
Do you have any offices or parent companies outside of the UK, Northern Ireland, the Channel Islands or the Isle of Man?	Yes     No
If yes, please provide details:
Are you an REC Member?	Yes     No
Do you have REC Audited Status?	Yes     No     N/A
Is any work undertaken outside of the UK?	Yes     No
If yes, please provide details:
Trading Experience
How many years has your business been trading?	Please Select 0 Years 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years 11 Years 12 Years 13 Years 14 Years 15 Years 16 Years 17 Years 18 Years 19 Years 20 Years 21 Years 22 Years 23 Years 24 Years 25 Years 26 Years 27 Years 28 Years 29 Years 30 Years 30+ Years
Number of years experience (if different): (A minimum of 3 years previous experience is required if you have 0 years trading)	Please Select 0 Years 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years 11 Years 12 Years 13 Years 14 Years 15 Years 16 Years 17 Years 18 Years 19 Years 20 Years 21 Years 22 Years 23 Years 24 Years 25 Years 26 Years 27 Years 28 Years 29 Years 30 Years 30+ Years
Claims Experience
Have you or any other partner or director suffered any loss or had any claims made against you in the last 5 years?	Yes     No
If yes, please provide details:	Date of claim: Cost of claim:£ Details of claim: ---------------------------- Date of claim: Cost of claim:£ Details of claim: ---------------------------- Regrettably, if you have more than 2 claims, we will be unable to provide you with a quotation.

Details Of Cover Required
Public Liability
Public Liability limit of indemnity:		£1 Million £2 Million £5 Million £10 Million Not Required
Employers' Liability
Is Employers' Liability Cover Required? (£10,000,000 standard limit of indemnity)		Please Select Yes No
Please confirm your estimated annual wageroll to be paid to your own employees:
Employers' Reference Number (optional)
Employers' Reference Number (ERN) (if available):		(e.g. 123/AB12345 or 'Exempt')
Permanent Placements
Do you place permanent staff only?		Yes     No
Estimated Payroll of Temporary Workers for next 12 months
Please provide details of Your estimated annual payroll to Temporary Workers for the next 12 months:
		Estimated Payroll in next 12 months		Estimated Turnover in next 12 months
Clerical/Administrative Workers:
Nursing/Care/Social Workers/ White Collar Engineers/IT Engineers:
Drivers/Warehouse Workers/Factory Workers:
Manual/Construction/Agricultural Workers:
Roofers/Scaffolders/Groundworkers/ Demolition and similar Contractors:
Security Workers (incl. door supervisors):
Welders/Heat Work:
Railway/Safety Critical Work:
Offshore Workers:
Domiciliary Care Workers:
Others: (please specify below if applicable)
Number of Temporary Workers
Number of workers currently supplied:
Average number of workers likely to supply in the next 12 months:
Maximum number of workers likely to supply in the next 12 months:
Estimated number of temporary employees in the next 12 months:
Current Turnover
Current Turnover:
Estimated Turnover for next 12 months
Permanent Placements:
Temporary Placements:
Contract Terms
Please confirm that all placements are on the Standard Terms of Business:		Yes     No
STANDARD CONTRACT shall mean contracts between the yourself (THE INSURED) and your client which contain an agreement that any CONTRACTOR shall be deemed to be an employee of the INSURED'S client so far as concerns responsibility for legal liability incurred to such CONTRACTOR or to any other party as a result of the acts or omissions of such CONTRACTOR.
If not Standard Terms, please provide details:
Hazardous Locations
Does any of the work undertaken involve working with hazardous, chemical or pollutant waste or with explosives of any kind?		Yes     No
Does any of the work undertaken involve working in tunnels, mines or quarries?		Yes     No
Does any of the work undertaken involve working at nuclear power stations or where nuclear materials are being handled?		Yes     No
Does any of the work undertaken involve placement of stevedores or crew for vessels or aircraft?		Yes     No
Do you provide workers in connection with any work involving asbestos?		Yes     No
Professional Indemnity
Is Professional Indemnity cover required?		Yes     No
Please confirm the limit of indemnity required (£'s):
Have you previously held professional indemnity insurance?		Yes     No
If yes, please provide details of the retroactive date:		(dd/mm/yyyy)
Non Standard Contracts
Please enter details of any non- standard contracts that you enter into:
Errors and Omissions of Supplied Persons (temporary workers)
Do you require cover for your legal liability arising from the errors or omissions of temporary workers?		Yes     No
High Risk Professional Indemnity Activities
Does any work undertaken involve the placement of dentists, doctors, surgeons, anaesthetists or other medical practitioners?		Yes     No
If yes, please provide details:
Does any work undertaken involve the placement of any temporary worker (other than under Standard Contracts) into: the legal profession, safety critical work of any nature, work undertaken on computer servers, mainframes and the like, the rail industry, offshore, the petrochemical industry, independent financial advice, car production, survey or valuation work, architectural work, or, chartered accountancy or tax work?		Yes     No
If yes, please provide details:
Drivers Negligence
Is cover required for Drivers Negligence?		Yes     No
Is there a written Drivers Negligence contract or agreement between the you and your client signed by both parties? (NB. It is usually a condition precedent to liability with most insurers that a written agreement is in place. If it is not, this cover will not be available.)		Yes     No
Please confirm the limit of indemnity required (£'s):		£0 £5,000 £10,000 £25,000 (any one claim)
Please select limit any one period of insurance:		£30,000 £50,000
Estimated Maximum Number of Drivers provided at any one time:
Fidelity Bonding Cover
Is cover required for Fidelity Bonding cover?		Yes     No
Please confirm the limit of indemnity required (£'s):		£0 £10,000 £25,000 £50,000 £100,000 £250,000
Wageroll paid to temporary staff handling theft attractive goods:
Wageroll paid to temporary staff handling all other goods:
Medical Malpractice Cover
Is Medical Malpractice cover required?		Yes     No
Limit of indemnity required:
Please state the total payroll you estimate will be paid in the next 12 months to Temporary Workers for whom you require medical malpractice cover:
Do you require cover for any dentist, doctor, surgeon, anaesthetist or other medical practitioner?		Yes     No
Legal Expenses Cover
Is Commercial Legal Expenses cover required? (£100,000 standard limit of indemnity)		Yes     No
Do you require cover for contractual disputes?		Yes     No
Has the business and/or its directors been involved in any legal dispute, tax investigation or any other court or tribunal action in the last 5 years?		Yes     No
Directors & Officers Cover
Is Directors & Officers cover required?		Yes     No
Please confirm the limit of indemnity required:		£0 £100,000 £250,000 £500,000 £1,000,000 £2,000,000 £5,000,000
Can you confirm that the Company's activities do not involve the provision of financial products or services?		Yes     No
Can you confirm that the Company's latest annual reports and accounts show positive net income (after tax)?		Yes     No
Can you confirm that the Company's latest annual reports and accounts show positive shareholder funds/net worth?		Yes     No
Can you confirm that the Company does not have assets or subsidiaries in the USA or Canada?		Yes     No
Can you confirm that the Company's shares are not publicly traded on any stock exchange?		Yes     No
Can you confirm that no claims have been made against any past or present director or officer of the company?		Yes     No
You are not aware, after enquiry, of any circumstance which may give rise to a claim?		Yes     No
Additional Information
Details of any additional information that you wish to disclose or any other cover required:
You are required to make a fair presentation of the risk to insurers which means that you are required to disclose every material circumstance which you know or ought to know relating to the risk to be insured. Materially important information is any information that could influence an insurer's decision to accept your risk including the cost of your insurance. Failure to comply with the duty of fair presentation could mean that your policy is void or that insurers are not liable to pay all or part of your claim(s). By submitting this quotation you are confirming that there are no other material facts to disclose other than those shown above.
Details Of Current / Previous Policies
Renewal Date / Date Cover Required:		(dd/mm/yyyy)
Current Annual Premium / Best Quotation:		This may help us to get you a better quote
Name of Current / Previous Insurer:		e.g. Aviva, AXA, Allianz, QBE, RSA, Zurich, etc.

Request Quotation

Disclosure
Please ensure that all the information you have provided is correct, then press the Request Liability Quotation button and we will contact you shortly with a quotation.

Estimated Quote Time: 1 to 72 hours