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Shop Insurance Quote Form

For UK Customers Only


Please insert your details here and one of our shop insurance business advisers will contact you shortly with a quote.

This form is designed for shop insurance quotes only. Cover can include shop contents, buildings (optional), public and employers liability, stock, freezer stock, business interruption, money, goods in transit, etc.

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

Proposers/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 Ltd. company)
Trading name:
(if different to the above)
Trading status:
Shop address:
Shop postcode:  Help?
Is the correspondence address
different to the shop address?
Yes     No
Correspondence address:
Correspondence postcode:
Daytime 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 with any criminal offence?
Yes     No
If yes, please provide details:
(i.e. date of conviction, type of
conviction, length of custodial sentence, etc.)
Have you, or any other partner or director ever had any county court judgements / sheriff decrees or 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:
(i.e. date of bankruptcy/insolvency, amount of
bankruptcy/insolvency, whether discharged, etc.)
Have you, or any other partner or director
ever been prosecuted under any health and
safety regulations or the Factories Act?
Yes     No
If yes, please provide details:
Has any insurer ever refused, declined, cancelled
or imposed special terms in respect of your shop insurance?
Yes     No
If yes, please provide details:
(i.e. name of insurer, reason
for refusal/special terms, etc.)
Can you confirm that you meet all the Statutory obligations; including fire safety, electrical inspections, Health & Safety and COSHH regulations, relating to the operation of your business?Yes     No
Business Details
Full details of goods sold/supplied at your shop:
(please describe as fully as possible)
Do your business activities only
involve retail and not any wholesaling of goods?
Yes     No
If no, please confirm, the percentage
of your turnover derived from wholesale activities:
%
Please state the number of years
trading under current management:
 years
If a new venture, please state the number
of years previous experience (if applicable):
 years
Construction of Shop Premises
Construction of walls (e.g. brick, stone, etc.):
Construction of roof (e.g. tile, slate, concrete, felt, etc.):
Is there any flat roof?Yes     No
If yes, please confirm percentage flat roof:%
Please confirm the type of flat roof
(e.g. 'felt on timber' or 'concrete', etc.)
Construction of floor(s):
Number of storeys in the building?
What year were the premises built? (yyyy)
Are the premises of listed construction?
(e.g. Grade I, Grade II, etc.)
Has the property ever suffered from ground
movement (e.g. subsidence) or flood damage?
Yes     No  Help?
If yes, please provide details:
(e.g. type of damage, date of
damage, amount of damage, etc.)
Distance from nearest water, river, stream, canal, etc.:
Are the premises only heated by
fixed heating and not by any portable heaters?
Yes     No
If no, please provide details of portable heaters:
Security
Are all your external doors fitted with a minimum
of 5-lever mortise deadlocks (BS3621) or
equivalent and all accessible windows and
skylights fitted with key operated window locks?
Yes     No  Help?
Are all accessible windows protected
by either solid steel bars or grilles?
Yes     No  Help?
Are the shop front windows
protected by metal roller shutters?
Yes     No  Help?
Do the premises have CCTV?Yes     No  Help?
Please confirm the coverage area of the CCTV:
Location of the premises:
Are your premises protected by an intruder alarm?Yes     No  Help?
If yes, is the alarm NACOSS/NSI/SSAIB accredited?Yes     No     Not Known
Type of intruder alarm signalling:
Is the alarm maintained annually?Yes     No
Level of Police response to alarm:
Please provide details of
any other security arrangements:
(This may entitle you to additional discounts)
 Help?
Does anybody reside at the premises overnight?Yes     No  Help?
If Yes, please provide details of the occupant:
(e.g. proprietor, manager, family member, etc.)
Is there an A.T.M. (cash machine) on the premises?Yes     No  Help?
Are you responsible for the cash?Yes     No
What is the maximum value
of cash held in the machine?
Fire Protection
Is there a fire alarm on the premises?Yes     No
If yes, type of fire alarm?
Is the fire alarm linked to a central station?Yes     No
Occupancy
Are you the sole occupant(s) of
the business premises you occupy?
Yes     No  Help?
If No, please provide details of other occupants:
Is your portion of the premises self-
contained with their own means of access:
Yes     No  Help?
If No, please provide details:
Are any parts of the
building at present unoccupied?
Yes     No  Help?
If yes, please provide details:
(i.e. percentage unoccupied,
which floors are unoccupied, etc.)
Are the premises ever left unoccupied
or closed for more than 30 consecutive days?
Yes     No
If yes, please provide details:
Does the shop have a workshop area?Yes     No  Help?
If yes, what percentage of the overall area?%
Claims Experience/History
Have you or any other director or partner (in this
or any other trading name) suffered any loss or had
any claims made against you in the last 5 years?
Yes     No  Help?
If yes, please provide claim details:
(i.e. date of claim, circumstances
of claim, amount claimed, etc.)
Premises where cooking is carried out
Do you use Deep Fat Frying Equipment?Yes     No  Help?
If yes, please confirm the type:
(e.g. Tabletop, Freestanding, Full Frying Range, etc.)
If a full frying range, please state
No. of Ranges, Manufacturer(s) and Age(s):
Is the frying equipment fitted with a thermostat designed to
prevent the temperature of oils/fat from rising above 205°C?
Yes     No

Cover

Cover Type
Standard cover is for Fire, Theft and Special Perils.  Help?
Do you wish to extend your cover to include
accidental damage for an additional premium?      
Yes     No  Help?
Do you wish to extend your cover to include
cover for terrorism for an additional premium?
Yes     No  Help?
Buildings (if owner occupied and required)
Buildings sum insured (if required):
(reinstatement value including outbuildings and an allowance for demolition costs, removal of debris, rebuilding architects fees, etc.)
 Help?
Is cover required for subsidence, heave or landslip?Yes     No  Help?
Tenants Improvements (if renting the shop and required)
Do you require tenants improvements cover?
(i.e. to insure improvements you have made as a tenant to the building's fixtures & fittings such as a new counter, suspended ceiling, partitions, lighting, decorations, etc.)
Yes     No  Help?
If yes, please state the sum insured:
Contents
Shop front glass sum insured (£'s):  Help?
Electronic business equipment (e.g. tills, etc.) (£'s):  Help?
Contents / fixtures & fittings sum insured (£'s):  Help?
Property Away From The Premises
Is cover required for business
equipment temporarily taken away from the premises?
Yes     No  Help?
All Risks Sum Insured (£'s):
(i.e. total value of property away from the premises)
Type of property to be covered away from the premises:
(e.g. laptops, digital camera's, etc. Please specify each item.)
Territorial area:  Help?
Stock
Total stock sum insured required (£s):  Help?
Does your stock include any tobacco/cigarettes/cigars, wines/spirits, DVDs/CDs and computer games, camera's/photographic equipment, clothing, computers/electronic equipment, electrical goods, jewellery/watches or mobile phones?Yes     No
If yes, within the total stock sum insured indicated above, please state the value of this stock below:
Tobacco, cigarettes & cigars:
Wines and spirits:
DVD's, CD's and computer games:
Camera's and photographic equipment:
Clothing incl. babywear, sports and leisure wear:
Computers / electronic equipment:
Electrical goods (other than
electronic equipment and mobile phones)
:
Jewellery and watches:
Mobile telephones:
Refrigerated Stock Cover (if required)
Freezer contents sum insured:
(cover for deterioration of frozen food)
 Help?
Goods In Transit (if required)
Goods in transit sum insured (own vehicles):  Help?
Money
Money during business hours/in transit to bank:
(please amend if greater cover is required)
 Help?
Money outside business hours in locked safe:
(please amend if greater cover is required)
 Help?

Business Interruption

Do you require business interruption cover?Yes     No  Help?
If yes, please confirm your annual Gross Profit (£'s):  Help?
Do you require cover for loss of liquor licence?Yes     No  Help?
If yes, please provide a sum insured (£'s):
Do you require cover for loss of book debts?Yes     No  Help?
If yes, please indicate the maximum amount of Gross
Fees and Debit Balances outstanding at any one time (£'s):

Public/Employers Liability Cover

Public / Product Liability limit of indemnity:
(£2M automatically included)
 Help?
Is there any manual work carried out away from
the premises other than collection or delivery?
Yes     No
If yes, please provide details:
(i.e. type of work and number of employees involved)
Employers' Liability limit of indemnity:
(£10M automatically included)
 Help?
Please confirm the total number of employees:
Please confirm the annual wages of your employees (£s):
Employers' Reference Number (optional)
Employers' Reference Number (ERN) (if available):  help
(e.g. 123/AB12345)
Turnover
Annual turnover (£s):  Help?
What percentage of your turnover
is derived from the sale of second hand goods?

Legal Expenses Cover

Is commercial legal expenses cover required?
(100,000 legal defence costs for contract disputes,
employment disputes, VAT investigations, etc.)
Yes     No  Help?
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
Please provide details of the dispute including dates:

Additional Covers / Information

If there is any other cover that you wish to include,
or if you are aware of any information that you
wish to disclose, please provide details:
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:
Current annual premium:
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 and that you have answered all the questions accurately then press the Request Shop Insurance Quotation button to send your quotation details to us.


Estimated Quote Time: 1 to 72 hours