A ccountants. Professional Indemnity Insurance. Proposal for. 2nd Floor John Stow House 18 Bevis Marks London EC3A 7JB

Size: px
Start display at page:

Download "A ccountants. Professional Indemnity Insurance. Proposal for. 2nd Floor John Stow House 18 Bevis Marks London EC3A 7JB"

Transcription

1 Professional Indemnity Insurance Proposal for A ccountants 2nd Floor John Stow House 18 Bevis Marks London EC3A 7JB Tel Fax

2 Kerry London Ltd, Professional Risks, 2 nd Floor, John Stow House, 18 Bevis Marks, London EC3A 7JB Professional Indemnity Insurance Proposal for Accountants This proposal form must be completed in black ink by a Partner, Principal or Director of the Company. All questions must be answered to enable a quotation to be given but the completion and signature of this proposal does not bind you or the Underwriters to enter into a Contract of Insurance. If there is insufficient space to answer any question fully, please attach a signed and dated continuation sheet. If you have a brochure, please provide a copy as well as any standard contract terms, conditions, agreements or letters of appointment which you have with your clients. PLEASE TYPE OR CLEARLY PRINT YOUR ANSWERS IN BLACK INK TO ASSIST THE UNDERWRITERS' CONSIDERATION OF THE PROPOSAL Section 1 Your Company and Staff Details a) Name of Individual or Company(s) ( You ) including any Subsidiary Companies for whom cover is required: a) b) c) Date Established: Date Established: Date Established: b) Address of all offices, including those of any overseas local offices or representatives: Registered or principal office Address Name of Partner, Principal or Director responsible Second location (if any) Third location (if any) c) Name(s) of any previous company(s) requiring cover and details of the nature of work undertaken: Date Ceased Trading: 2

3 d) Please provide details of all Partners, Principals or Directors: Names of all Partners, Principals or Directors Age Qualifications Date(s) Qualified No of years with this Company Please attach a C.V for any Partner, Principal or Director with less than 5 years experience in this occupation. e) Please provide details of all full-time and part-time Consultants who are under a contract of service with you: Name of all Consultants Age Qualifications Date(s) Qualified No of years with you If less than 5 years experience in this occupation, please provide details of previous occupations: f) Is cover required for any Partner in respect of liability arising out of a previous business? If YES, please give details: Name Name of previous firm Nature of firm s business Date Partner left the previous firm and the reason for leaving g) Are you admitted to membership of any Association or Professional Body? If YES please give details: h) Have you or any person employed by you ever been subject to disciplinary proceedings by any Professional Body? If YES, please give details: 3

4 i) Please state the total number of:- a) Partners, Principals or Directors b) Other Qualified staff c) Other Technical staff (excluding Administrative staff) d) Administrative and all other staff TOTAL j) How do you ensure that you and your staff keep up to date with changes in legislation and other legal developments which affect the type of work you do and the services you offer? Please provide details: k) If you are a sole principal, please provide details of the arrangements for office supervision during your absence: l) Do you work to a professional code of practice? m) Do you have written checklists and/or work procedures for the services which you provide? n) Do you have standard contract terms and conditions which you use in every case? If YES, please provide us with copies. If NO, please explain why and detail the alternative methods you use to confirm terms of engagement with your clients: o) Are you accredited, or in the process of being accredited, to any BS or similar Quality Assurance standard? If YES, please provide details: Section 2 Companies with whom you are associated a) Do you undertake work for any partnership, company or organisation in which any Partner, Principal, Director or Employee holds a position whereby he/she is able to make major decisions on behalf of such partnership, company or organisation? 4

5 b) Is any Partner, Principal or Director connected or associated (financially or otherwise) with any other practice, company or organisation? If you have answered YES to either of questions a) or b) please provide full details : c) What percentage of your income is derived from the associated companies detailed above? % d) Is cover required for the work you undertake for the associated companies detailed above? (Cover is restricted to claims made by independent third parties) e) Has any Partner, Principal or Director been a Partner, Principal or Director or been associated with any business which has ceased trading either voluntarily or compulsorily? f) Has any Partner, Principal or Director been made personally bankrupt? If you have answered YES to either of questions e) or f) please provide full details: Section 3 Your Activities a) Please state your gross fees (including those paid to sub-contractors) for each of the last three financial years and an estimate for the next financial year in respect of fees billed to clients based in the following territories: Year UK Overseas excl. USA & Canada 200 to to to 200 Next Financial Year Ending (eg 31/12): / USA & Canada b) Do you enter into any contracts where legal jurisdiction is anything other than UK? If you have declared fees from any territory other than the UK or answered YES to Question b) please give full details including nature of contract, dates, countries involved, contract values and jurisdiction applicable: Total c) Financial Year 200 to to to 200 Largest total fee from any one client or group Average fee per client 5

6 d) Please indicate the approximate percentage split in your fees (including payments to sub-contractors) for each of the following categories: i) auditing a) of public companies ii) b) of other clients preparation of accounts a) of public companies iii) compliance taxation b) of other clients a) for public companies b) of other clients Last Year Forthcoming Year % % % % % % % % % % % % iv) taxation consultancy % % v) management consultancy % % vi) computer consultancy (please give details below) % % vii) insolvency, liquidations and receiverships % % viii) executorships and trusteeships % % ix) investment advice and other investment work % % x) directorships % % xi) company registrar work % % xii) mergers, acquisitions and disposals % % xiii) work for merchant banks, finance houses, hire purchase and credit sales organisations and other finance providers (excluding building societies) % % xiv) any other work % % Total 100% 100% e) Have you ever received fees in connection with any of the following? i) Private Client Portfolio Management ii) Institutional Fund Management iii) Dealing in Securities iv) Offshore Investments v) Entertainment Industry If YES, please provide name(s) of client(s), when and which services were provided and the fees earned: f) Are you or your company authorised to conduct investment work as defined in the Financial Services Act 1986? If YES, please provide details: Authorising Body Category of authorisation Services provided Fees applicable % % 6

7 g) Have you provided any advice in connection with Personal Pensions since 1988? If YES, please provide details: (Please note that additional information may be required) Gross commissions earned No. of clients provided with Pensions advice Average size of transfer value Number of complaints received 1988 to to to date h) Have you provided any advice in connection with Low Cost Endowment Mortgages since 1987? If YES, please provide details: (Please note that additional information may be required) 1987 to to to date Number of policies sold Highest loan value Average loan value Number of complaints received i) Have any major changes in your activities/structure taken place in the past twelve months or expected to take place in the next 12 months? j) Is cover required for any previous, now ceased, activity which is different from that declared within this Proposal Form? If you have answered YES to questions i) or j) please provide full details: k) Do you have systems in place to ensure that taxation deadlines are met? If NO, please explain why: l) During the last 12 months have any clients terminated or discontinued your services to them? If YES, please provide full details: m) What percentage of your income is paid to sub-contractors ( independent accountants )? % 7

8 n) Do you want us to provide cover to independent accountants under your policy for claims made against them in respect of work they perform on your behalf? (Note: Your vicarious liability for the actions of sub-contractors employed by you is covered automatically) If YES, please provide full details: Name Qualifications Work undertaken Fees paid (last financial year) o) How do you control and review the work that independent accountants undertake for you? p) Do you enter into written agreements with your independent accountants? q) Are independent accountants undertaking work for you required to hold their own Professional Indemnity Insurance and if so, for what amount? r) What do you think are the most significant risks associated with your activities and what do you do to minimise your exposure to them? Section 4 Your Professional Indemnity Insurance arrangements a) Please provide details of your current insurance. You need not answer this question if you are currently insured through Kerry London Ltd. If you are not currently insured, please state Not Insured.. Insurer Renewa l Date Limit of Indemnity (Any One Claim/Aggregate) Premium (excl IPT) Excess Retroactive Date b) For how long have you been continuously insured? Years 8

9 c) Has any Insurer ever:- i) declined to offer Insurance to you or any Partner, Principal or Director? ii) imposed any special terms on your Company or any Partner, Principal or Director? iii) cancelled or voided an Insurance for you or any Partner, Principal or Director? If you have answered YES to any of these questions please provide full details: d) What Limit of Indemnity do you now require? Please indicate by ticking the box(es) below: 100, , ,000 1,000,000 Other Please state e) An excess of at least 500 to 1000 will normally be a requirement of this insurance. However, a reduction in premium may be available if you are prepared to accept a higher, voluntary excess (each and every claim). If you are prepared to consider this, please state the amount of the excess you require our quotation to be based upon. 2,500 5,000 10,000 25,000 Other Please state Section 5 Your Systems for dealing with money a) Do you always obtain satisfactory written references when engaging senior employees? b) Are you able to confirm that no Partner, Principal, Director or Employee is allowed to sign cheques on his/her signature alone? c) Are Employees who receive cash/cheques in the course of their duties required to pay in daily? If you have answered NO to any of the above please explain why by giving full details: d) How often are checks carried out on all entries in the Cash Book with all paying in books, receipts counterfoils and vouchers being reconciled with Bank Statements, including the balance of cash and unpresented cheques, independently of Employees receiving or banking monies belonging to you as well as in trust on behalf of others? WEEKLY/MONTHLY/QUARTERLY/OTHER 9

10 Section 6 Your Claims history CLAIMS- PLEASE NOTE IT IS IMPERATIVE TO ANSWER THESE QUESTIONS CORRECTLY -FAILURE TO DO SO COULD PREJUDICE YOUR RIGHTS - IF SPACE IS INSUFFICIENT PLEASE ATTACH A SIGNED AND DATED CONTINUATION SHEET TO ENABLE YOU TO PROVIDE FULL DETAILS. a) Fidelity i) Have you sustained any loss through the fraud or dishonesty of any person? ii) Do you know of any fraud or dishonesty at any time of any past or present Partner, Principal, Director or Employee? b) Professional Indemnity:- i) Has any claim, whether successful or not, ever been made against you, your predecessors in business or any past or present Partner, Principal, Director or Employee? ii) Are you or any of the Partners, Principals, Directors or Employees AFTER FULL ENQUIRY, aware of any circumstances which may give rise to a claim against you, your predecessors in business or any past or present Partner, Principal, Director or Employee? If you have answered YES to any of the Claims Questions please provide full details including dates, amounts involved, brief details of the nature of the claim, whether the claim is paid or still outstanding and state the steps taken to prevent a reoccurrence. 10

11 Additional Information Please use this space to provide additional information in support of the answers given within the proposal form or simply to provide further details about you or your activities which you feel would be of interest to us. Please clearly show the question number to which the information relates. 11

12 IMPORTANT NOTICE CONCERNING DISCLOSURE It is your duty to disclose all material facts to Underwriters. A material fact is one which may influence an Underwriter s judgement in the consideration of your proposal. If your proposal is a renewal, it is likely that any change in facts previously advised to Underwriters will be material and such changes should he highlighted. If you are in any doubt as to whether a fact is material you should disclose it. FAILURE TO DISCLOSE could prejudice your rights to recover in the event of a claim or allow Underwriters to void the policy. I/We declare that the statements and particulars contained in the proposal are true and that I/we have not misstated or suppressed any material facts. l/we agree that this proposal together with any other information supplied by me/us shall form the basis of any contract of insurance effected thereon. I/we undertake to inform Underwriters of any material alteration to these facts occurring before completion of the contract of insurance. Signature of Partner, Principal or Director Date: E.U. Disclosure Clause (UK) Notice to the Proposed/Assured The parties are free to choose the law applicable to this Insurance Contract. Unless specifically agreed to the contrary, this insurance shall be subject to English Law. Any enquiry or complaint should be addressed in the first instance to your Broker. Kerry London Ltd 2nd Floor John Stow House 18 Bevis Marks London EC3A 7JB Tel: Fax: Registered in England No Authorised and regulated by the Financial Conduct Authority A COPY OF THIS PROPOSAL SHOULD BE RETAINED BY YOU FOR YOUR OWN RECORDS 12

13 Kerry London Ltd, Professional Risks, 2 nd Floor, John Stow House, 18 Bevis Marks, London EC3A 7JB USEFUL CHECKLIST FOR THE ACCOUNTANTS PROPOSAL FORM When completing the proposal form please just take a minute to check the following points have been taken into consideration. This will assist us in providing you with an expedient and competitive quotation. (Section 1 Your Company and Staff Details) Ensure that all of the companies trading titles that require coverage are clearly shown under this section. Please pay particular attention to parts (c) & (f) of this question; these parts must be completed for coverage that is required for past trading practices. Failure to complete this section correctly may cause severe problems in the event of a claim. (Section 3 Your Activities) Part (d) of this section holds the key to Insurers premium calculations so extra care should be taken when completing this question. Please ensure that this question adds up to 100%. (Section 4 Your Professional Indemnity Insurance arrangements) Please clearly indicate what limits and excesses need quoting for. If you are unsure what limits or excesses are required please refer to our Information for Accountants Section 4. Main Bodies with PI Rules (as attached) (Section 6 Your Claims history) Please ensure that all claims information is provided for both present and past claims matters. This means any claim and/or circumstance that may lead to a claim should be clearly shown within the proposal form or on separate sheet of letter headed paper. The proposal form must be signed and dated by a company director, partner or principle. Please note: This application form has been designed for businesses that have been trading for more than 12 months. If your practice has not been trading for 12 months please try to answer the questions that will reflect your companies proposed activities for the next 12 months. If you are ever unsure what information is required from you when completing this form please ensure that you contact your broker immediately. 13

14 INFORMATION ON PROFESSIONAL INDEMNITY INSURANCE FOR A ccountants - CONTENTS - 1. Introduction 2. What are the Insurers main concerns? 3. Types of Claim 4. Main Bodies with PI Rules 5. Pitfalls to look out for when arranging cover. 6. Policy Wordings 7. Coverage that is normally afforded 8. Exclusions that usually apply 9. Associated Links 14

15 1. Introduction Accountancy is one of the more established professions. However it is fairly fragmented; being made up of members from a number of professional bodies as well as unqualified but highly experienced advisors, such as former tax inspectors. Firms can vary dramatically in size and services, from small sole practitioners through to huge international practices. Some of the professional bodies maintain rules for mandatory PI cover. 2. What are the Insurers main concerns? First and foremost, Insurers are concerned with qualifications and/or experience. If an Accountant is unqualified then insurers will want to see a CV, normally demonstrating at least five years' practical experience and maybe more depending on the services being offered. Insurers will be particularly interested in what type of work the proposer is undertaking and the proposal forms bring this out by asking for a breakdown of the respective fee income. Insurers tend to base most their Underwriting decisions on the actual fields of work that the Accountant gets involved in. Here is a guide to most of the main fields of work: Audit, accountancy and company tax for quoted companies. This area of work is perceived by Insurers as highly hazardous, particularly when dealing with large financial institutions. The reporting requirements are far greater and can be in the public eye. The scope and size of potential claimants is large and losses can therefore be catastrophic. Other audit and accountancy (including related tax work). Insurers deem this work to be a standard hazard. Personal taxation. Again Insurers perceive this work to be a standard hazard. It can sometimes become complex in certain areas, i.e. members of Lloyd's, entertainment industry, etc. Corporate taxation. This is seen by Insurers to be more hazardous than personal taxation it just depends upon exact nature of work. Management consultancy. At strategic level can be very low hazard. At the level of interim management or IT consultancy can be more hazardous. Insolvencies, liquidations and receiverships. Insurers see this area of work as highly hazardous. Every project can present a potential problem due to the very nature of the work. Creditors can also be very aggressive and problematical by regularly asking questions of the Accountants. General Insurance commissions. Generally this is seen as low hazard as most Accountants do not get involved in insurance broking to any significant extent. This is now especially true that all General Insurance is regulated by the FSA. This will preclude most Accountants from giving any advice as they are not likely authorized to do so. Commissions from investment business regulated under Financial Services Act. The exposures in this area to Insurers are variable dependent on the work that has been undertaken. If the Accountants are acting as merely introducers then the exposures are low. However if financial advice is given directly by the Accountant then substantial losses could arise given the problems this area of work has seen in the past. Mergers, acquisitions, disposals. This is another area of work that Insurers see as being highly hazardous. The sums of money involved can be very high. Claimants can be very litigious with extremely deep pockets. Deals can always go wrong, especially when a business has hidden liabilities. Due diligence is an area of work that is particularly hazardous. 15

16 Overseas business for any of the above activities can be an issue, particularly for larger firms. Most firms of Accountants remain partnerships. There has been much consolidation in the accountancy world in recent years, some of it traumatic. This means that there are many people with a need to cover liability arising from former practices. This needs to be addressed carefully, not just from the perspective of getting the right cover in place (due to the 'claims made' basis of PI policies) but also from the perspective of looking at former practices' claims records. And finally there is the claims record. Accountants' claims records vary enormously. Many small firms are entirely clean. Most large firms have experienced at least some claims. But beware, there are a number of 'serial killers' with terrible claims experiences. 3. Types of Claim Personal taxation. Failure to lodge tax returns led to client losing tax repayment and interest. Cost 14,000. Personal taxation/pensions. Incorrect advice as regards pension payments and alleged concealment of commissions. Cost 675,000. Accountancy. Lender sought reference for a business's mortgage. The business failed and the subsequent property sale failed to cover the loan. Cost 180,000. Trust. Two partners were trustees to a family trust. They delegated investment authority to a company that subsequently collapsed. They also failed to minimise tax. Cost 125,000. Company tax. The firm, who acted as accountants to a profitable company, introduced them to a tax mitigation consultancy. Schemes of tax mitigation were embarked upon that proved to be fraudulent from a tax perspective. Cost 130,000. Auditing. The firm failed to spot a serious fraud due to inadequate audit procedures. The cost exceeded the limit of indemnity of 1,000,000. Investment advice. Poor investment advice led to serious loss to a trust. Cost 210,000. Accountancy. The firm acted for the purchaser of a business. There was confusion as to their role. The purchaser thought that the firm was looking at the commercial viability of the acquisition. The firm thought that their instructions were limited to the preparation of cash flow forecasts based on given information for the purpose of raising finance. Cost 180,000. Fraud. A partner in the firm stole clients' money. Cost 625,000. Insolvency. Failure to realise full value of assets. Cost 110, Main Bodies with PI Rules The Institute of Chartered Accountants in England & Wales (ICAEW). The Institute of Chartered Accountants of Scotland (ICAS). The Institute of Chartered Accountants in Ireland (ICAI). The Association of Chartered Certified Accountants (ACCA). The Chartered Institute of Taxation (CIOT). The Association of Accounting Technicians (AAT). 16

17 The main features of their various rules are: ICA Required Limit of Indemnity Two and a half times the firm's gross fee income for past financial year, subject to a minimum of 50,000 for a sole practitioner or 100,000 in any other case and a maximum of 1,000,000 (of course firms can be recommended to buy much more!). Maximum Excess Sole practitioners - 20,000 in the aggregate. Partnerships - 20,000 in the aggregate multiplied by the number of principals. Corporate practices - 20,000 in the aggregate or the total amount accepted by the principal as a legally binding personal obligation (but not more than 20,000 for any one principal). Main features of rules ACCA Cover to be provided via an insurer from the 'List of participating Insurers' published each year by the Institute. Cover must conform to the Institute 'approved wording' - a 'difference in conditions' clause must be included where cover differs. Retroactive cover of 6 years or establishment date of practice must be provided. An 'Assigned risk pool' exists for those practices unable to obtain cover. Run-off cover following cessation must be maintained for 2 years, but it is recommended that run-off is continued for 6 years. Required Limit of Indemnity Fee income less/equal to 200,000 - the greater of two and a half times the firm's total income for past financial year and 25 times largest fee paid in past financial year, subject to a minimum of 50,000. Fee income 200, ,000 - the greater of the aggregate of 300,000 and the firm's total income for past financial year and 25 times largest fee paid in past financial year. Fee income over 700,000 - the greater of 1,000,000 and 25 times the largest fee paid in past financial year. Maximum Excess The lesser of 2% of the limit of indemnity in respect of each and every claim or 20,000 per principal. Main features of rules CIOT Cover to be provided by 'reputable' (DTI approved) insurers. Cover to be on a 'civil liability' basis for each and every claim. Fidelity guarantee cover must be included for partners, directors and employees. Run-off cover following cessation of practice must be maintained for 6 years. Required Limit of Indemnity The greater of two and a half times the firm's gross fee income for its last completed financial year or 25 times largest fee raised in past completed financial year subject to a minimum of 100,000 for a sole practitioner or 200,000 in any other case and a maximum of 1,000,

18 Maximum Excess The lower of 20,000 per principal in the aggregate or 2% of the limit of indemnity. Main features of rules Cover to be provided by any EU insurers authorised by law. Cover to be for all 'civil liability' incurred in connection with the conduct of the business. Fidelity guarantee cover is 'recommended' but not compulsory. Run-off cover following cessation must be maintained for at least 6 years. Firms regulated by certain other professional bodies may be exempt from the CIOT PI requirements. 5. Pitfalls to look out for when arranging cover. Firstly, know your client. What do they do? Are they particularly exposed in hazardous areas? If they are, obtaining satisfactory terms might take longer. Make sure that their professional body's rules (if any) are complied with. Predecessors/former practices. As mentioned earlier, be sure that any cover needed is included. There are many short proposal forms in use these days. These are only short because they omit questions. Often, the first questions to go are those relating to retroactive exposure. So, not all proposal forms will elicit this important detail. Sub-contracted work. It is common for self-employed Accountants to help firms out occasionally. The firm may agree to take responsibility for that work and, so long as it is adequately supervised, insurers are generally willing to deem these people to be employees and waive rights of subrogation. Again, good proposal forms will bring this requirement out but short forms might not. Be sure to ask. Unusually large clients. If more than 20% of fees derive from one client, insurers may want more information. You should be prepared for this. Staff dishonesty. Many Accountants' policies include in-house fidelity and liability for dishonesty of employees. This is why most proposal forms ask questions relating to this. Insurers will expect to see written references taken and no sole-signature cheques (except in the case of sole practitioners). 6. Policy Wordings As mentioned earlier, wordings are often required to be written on a 'civil liability' basis (covering all civil liability, not just negligence), or on a minimum approved wording, often including fidelity coverage. If the insured is unqualified, or qualified only to a limited extent, more basic miscellaneous wordings can be offered. 7. Coverage that is normally afforded Usually the limit of indemnity will be 'any one claim' with legal costs in addition. The excess will not normally apply to insurers' costs and expenses. Being on a civil liability basis, unless specifically excluded (which is unusual) cover would include negligence, liability for dishonesty, liability for lost documents, libel and slander, breach of warranty of authority, etc. Where a miscellaneous policy is offered, the same rules as for miscellaneous business apply. A difference in conditions clause must be present for Chartered Accountants; this is required to demonstrate that the policy 18

19 offers at least the same cover as the minimum standard required. Cover operates for all the activities that would be expected of an Accountant, including personal appointments, such as directorships, as liquidator, as trustee, but only in respect of an Accountant's usual services. Civil liability policies demand careful attention to exclusions so that non-pi exposures are not inadvertently covered. Typically, policies will exclude: Death or bodily injury. Loss or damage to physical property (but fidelity and loss of documents are covered). Punitive or exemplary damages (many policies have no geographical or jurisdiction limitations). North American offices. Liability to other insureds. Nuclear risks. Claims and circumstances known at inception of the cover. 8. Exclusions that usually apply Fidelity. Loss of documents. Costs of representation at tribunals. 9. Associated Links The Institute of Chartered Accountants of Scotland (ICAS) The ICAS received its Royal Charter in 1854 and is the oldest professional body of accountants in the world. Chartered Institute of Taxation (CIOT) The CIOT is the senior professional body in the UK concerned solely with all aspects of taxation. The Institute of Chartered Accountants in England & Wales (ICAEW) The Institute of Chartered Accountants in England & Wales is the largest professional accountancy body in Europe, with over 120,000 members. Institute of Chartered Accountants in Ireland (ICAI) Incorporated by Royal Charter on 14 May 1888, the ICAI is the oldest and largest body of accountants in Ireland. Association of Accounting Technicians (AAT) Formed in The AAT is the professional body for Accounting Technicians, with more than 100,000 Members and Students worldwide. The Association of Chartered Certified Accountants (ACCA) The ACCA is a professional body that represents Certified Accountants. The Chartered Institute of Management Accountants CIMA (an internationally recognised finance qualification for business) is the voice of over 74,000 students and 57,000 members in 156 countries. 19

20 Accountancy Age On-line UK leading accountancy magazine. Financial Director A UK leading monthly title for senior financial decision makers. 20

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR ACCOUNTANTS

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR ACCOUNTANTS PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR ACCOUNTANTS This proposal form must be completed in black ink by a Partner, Principal or Director of the Company. All questions must be answered to enable

More information

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR ACCOUNTANTS PLEASE READ THIS GUIDANCE NOTE BEFORE COMPLETING THE PROPOSAL FORM To help us to provide you with our most competitive quotation, it is important

More information

How To Answer A Question From The Insurance Company

How To Answer A Question From The Insurance Company PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR HEALTH & SAFETY CONSULTANTS This proposal form must be completed in black ink by a Partner, Principal or Director of the Company. All questions must be

More information

Professional Indemnity Insurance. Proposal for PROFESSIONAL RISKS. 2nd Floor John Stow House 18 Bevis Marks London EC3A 7JB

Professional Indemnity Insurance. Proposal for PROFESSIONAL RISKS. 2nd Floor John Stow House 18 Bevis Marks London EC3A 7JB Professional Indemnity Insurance Proposal for IT Consultants PROFESSIONAL RISKS 2nd Floor John Stow House 18 Bevis Marks London EC3A 7JB Tel 020 7623 4957 Fax 020 7623 4958 PROFESSIONAL RISKS Kerry London

More information

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR ADVERTISING AGENTS

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR ADVERTISING AGENTS INTERSURE INSURANCE BROKERS LIMITED PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR ADVERTISING AGENTS PLEASE READ THIS GUIDANCE NOTE BEFORE COMPLETING THE PROPOSAL FORM To help us to provide you with

More information

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR ADVERTISING AGENTS PLEASE READ THIS GUIDANCE NOTE BEFORE COMPLETING THE PROPOSAL FORM To help us to provide you with our most competitive quotation, it

More information

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR ARCHITECTS

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR ARCHITECTS PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR ARCHITECTS This proposal form must be completed in black ink by a Partner, Principal or Director of the Company. All questions must be answered to enable

More information

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR ARCHITECTS PLEASE READ THIS GUIDANCE NOTE BEFORE COMPLETING THE PROPOSAL FORM To help us to provide you with our most competitive quotation, it is important

More information

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR PRIVATE MEDICAL INSURANCE BROKERS This proposal form must be completed in black ink by a Partner, Principal or Director of the Company. All questions

More information

PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE ACCOUNTANTS

PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE ACCOUNTANTS PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE ACCOUNTANTS ACCOUNTANTS PROFESSIONAL INDEMNITY INSURANCE This proposal form must be completed in ink by a Partner, Principal or Director of the Firm or Company.

More information

Professional Indemnity Insurance for Accountants. Proposal Form

Professional Indemnity Insurance for Accountants. Proposal Form Professional Indemnity Insurance for Accountants Proposal Form Professional Indemnity Insurance for Accountants Proposal Form Please read the following carefully before completing this proposal form. To

More information

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR MEDICAL MALPRACTICE

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR MEDICAL MALPRACTICE PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR MEDICAL MALPRACTICE This proposal form must be completed in black ink by a Partner, Principal or Director of the Company. All questions must be answered

More information

Professional Indemnity Insurance for Accountants Proposal Form

Professional Indemnity Insurance for Accountants Proposal Form Professional Indemnity Insurance for Accountants Proposal Form Professional Indemnity Insurance for Accountants Proposal Form Please read the following carefully before completing this proposal form. To

More information

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR MEDICAL MALPRACTICE PLEASE READ THIS GUIDANCE NOTE BEFORE COMPLETING THE PROPOSAL FORM To help us to provide you with our most competitive quotation,

More information

Professional Indemnity Insurance Proposal Form for Accountants

Professional Indemnity Insurance Proposal Form for Accountants QPI Professional Specialists in Protecting Professions Professional Indemnity Insurance Proposal Form for Accountants IMPORTANT INFORMATION Duty of Disclosure When completing any insurance proposal form

More information

PROFESSIONAL INDEMNITY INSURANCE

PROFESSIONAL INDEMNITY INSURANCE PROFESSIONAL INDEMNITY INSURANCE Accountants Proposal Form A FULL POLICY WORDING IS AVAILABLE ON REQUEST Please ask your broker, usual RSA contact or see our website, www.rsabroker.com Please complete

More information

IMPORTANT INFORMATION REGARDING COMPLETION OF THIS FORM

IMPORTANT INFORMATION REGARDING COMPLETION OF THIS FORM Accountants Professional Indemnity Insurance Proposal Form IMPORTANT INFORMATION REGARDING COMPLETION OF THIS FORM Method of Completion This proposal form may be completed in ink or electronically and

More information

E nvironm ental Consultants

E nvironm ental Consultants Professional Indemnity Insurance Proposal for E nvironm ental Consultants PROFESSIONAL RISKS 2nd Floor John Stow House 18 Bevis Marks London EC3A 7JB Tel 020 7623 4957 Fax 020 7623 4958-1- PROFESSIONAL

More information

Accountants. Professional Indemnity Proposal Form. Vantage Professional Risks. 41 Eastcheap London EC3M 1DT

Accountants. Professional Indemnity Proposal Form. Vantage Professional Risks. 41 Eastcheap London EC3M 1DT Professional Indemnity Proposal Form Accountants Vantage Professional Risks 41 Eastcheap London EC3M 1DT Telephone 020 7655 8020 Email: pi@vantageinsurance.co.uk www.vantageprofessionalrisks.co.uk IMPORTANT

More information

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR INSURANCE INTERMEDIARIES

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR INSURANCE INTERMEDIARIES PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR INSURANCE INTERMEDIARIES Howden Insurance Brokers Limited is an official scheme provider of Professional Indemnity for BIBA members Please complete this

More information

Professional Indemnity Select

Professional Indemnity Select Allianz Insurance plc Professional Indemnity Select Accountants Proposal Form Contents Accountants Professional Indemnity Insurance 1 General Information 2 Thank you for choosing Allianz Insurance plc.

More information

IMPORTANT NOTICE REGARDING COMPLETION OF THIS ACCOUNTANTS PROPOSAL FORM

IMPORTANT NOTICE REGARDING COMPLETION OF THIS ACCOUNTANTS PROPOSAL FORM IMPORTANT NOTICE REGARDING COMPLETION OF THIS ACCOUNTANTS PROPOSAL FORM 1. Disclosure - Any material fact must be disclosed to Insurers. - A material fact is any information which may alter the judgment

More information

Professional Indemnity Insurance for Insurance Intermediaries Proposal Form

Professional Indemnity Insurance for Insurance Intermediaries Proposal Form Professional Indemnity Insurance for Insurance Intermediaries Proposal Form Professional Indemnity Insurance for Insurance Intermediaries Proposal Form Please read the following carefully before completing

More information

Professional Indemnity Insurance for Specialist Consultants/Firms Proposal Form

Professional Indemnity Insurance for Specialist Consultants/Firms Proposal Form Professional Indemnity Insurance for Specialist Consultants/Firms Proposal Form Professional Indemnity Insurance for Specialist Consultants/Firms Proposal Form Please read the following carefully before

More information

Business Insurance Proposal

Business Insurance Proposal HOULDER INSURANCE SERVICES PROFESSIONAL INDEMNITY PROPOSAL FORM ACCOUNTANTS Michael's House 10-12 Alie Street, London E1 8DE Tel: 020 7980 3800 Fax: 020 980 3915 PLEASE READ THE FOLLOWING BEFORE COMPLETING

More information

Professional Indemnity Proposal Form Accountants

Professional Indemnity Proposal Form Accountants Professional Indemnity Proposal Form Accountants GUIDANCE NOTES Completing your proposal form Please complete all questions in full using the Additional Information section or separate sheets where necessary.

More information

ACCOUNTANTS PROFESSIONAL INDEMNITY PROPOSAL FORM

ACCOUNTANTS PROFESSIONAL INDEMNITY PROPOSAL FORM ACCOUNTANTS PROFESSIONAL INDEMNITY PROPOSAL FORM IMPORTANT NOTICE TO THE PROPOSER TO COMPLETION OF THIS PROPOSAL FORM 1) Disclosure - Any material fact must be disclosed to Insurers. - A material fact

More information

Accountants Professional Indemnity Insurance Proposal

Accountants Professional Indemnity Insurance Proposal Accountants Professional Indemnity Insurance Proposal AIG Europe Limited 30 North Wall Quay International Financial Services Centre Dublin 1 Proposer Details 1. Name(s) of Firm(s) 2. Nature of business

More information

Accountants Proposal Form

Accountants Proposal Form Accountants Proposal Form Proposal Form IMPORTANT: In this proposal: You / Your refers to all firms to be insured under this arrangement, including any predecessor or previous business for which cover

More information

Professional Indemnity Insurance for the Media Industry Advertising, Marketing, Public Relations and Sales Promotions

Professional Indemnity Insurance for the Media Industry Advertising, Marketing, Public Relations and Sales Promotions Professional Indemnity Insurance for the Media Industry Advertising, Marketing, Public Relations and Sales Promotions Proposal Form Professional Indemnity Insurance for the Media Industry Advertising,

More information

Accountants Professional Liability Insurance Proposal

Accountants Professional Liability Insurance Proposal AIG Europe Limited Proposer Details Name of Firm(s) Principal Address line one Principal Address line two City and postcode Telephone number Fax number Website address Does the Firm(s) have any branch

More information

Professional Indemnity Insurance for Chartered Surveyors Proposal Form

Professional Indemnity Insurance for Chartered Surveyors Proposal Form Professional Indemnity Insurance for Chartered Surveyors Proposal Form Professional Indemnity Insurance for Chartered Surveyors Proposal Form Please read the following carefully before completing this

More information

Accountant Professional Liability Proposal Form

Accountant Professional Liability Proposal Form Notice: Statement pursuant to Section 25(5) of the Insurance Act (Cap 142) or any amendments thereof; You are to disclose in this application, fully and faithfully, all the facts which you know or ought

More information

Professional indemnity CIOT and ATT members proposal form

Professional indemnity CIOT and ATT members proposal form You must complete the general information section, the claims section and read and sign the declaration. General information You must complete this section. Company name Main address Please provide similar

More information

100,000 250,000 500,000 1,000,000 2,000,000 Other Please Specify:

100,000 250,000 500,000 1,000,000 2,000,000 Other Please Specify: Intersure Insurance Brokers Limited Prospect House, 63 rth Street, Sudbury, Suffolk CO10 1RE Telephone: 01787 313133 Fax: 01787 313656 e-mail:enquiries@intersure.net www.intersureinsurance.com PROPOSAL

More information

Accountants Application Form

Accountants Application Form Accountants Application Form Application Form IMPORTANT: In this application: You / Your refers to all firms to be insured under this arrangement, including any predecessor or previous business for which

More information

Professional Indemnity Insurance Proposal Form for Accountants

Professional Indemnity Insurance Proposal Form for Accountants QPI Professional Specialists in Protecting Professions Professional Indemnity Insurance Proposal Form for Accountants Short Proposal Form for 1-4 Partner Firms IMPORTANT INFORMATION Duty of Disclosure

More information

Professional Indemnity Insurance for Motor Traders Financial Product Sales. Proposal Form

Professional Indemnity Insurance for Motor Traders Financial Product Sales. Proposal Form Professional Indemnity Insurance for Motor Traders Financial Product Sales Proposal Form Professional Indemnity Insurance for Motor Traders Financial Product Sales Proposal Form Please read the following

More information

Professional Indemnity Proposal Form Business & Management Consultants

Professional Indemnity Proposal Form Business & Management Consultants Professional Indemnity Proposal Form Business & Management Consultants This form does not apply to: IT Consultancy. Please see the IT Professions proposal form GUIDANCE NOTES Completing your proposal form

More information

IMPORTANT NOTICE REGARDING COMPLETION OF THIS MANAGEMENT CONSULTANTS PROPOSAL FORM

IMPORTANT NOTICE REGARDING COMPLETION OF THIS MANAGEMENT CONSULTANTS PROPOSAL FORM IMPORTANT NOTICE REGARDING COMPLETION OF THIS MANAGEMENT CONSULTANTS PROPOSAL FORM 1. Disclosure - Any material fact must be disclosed to Insurers. - A material fact is any information which may alter

More information

IMPORTANT POINTS. Please ensure all questions are answered fully, where there is insufficient space please supply information on a separate sheet.

IMPORTANT POINTS. Please ensure all questions are answered fully, where there is insufficient space please supply information on a separate sheet. IMPORTANT POINTS Please ensure all questions are answered fully, where there is insufficient space please supply information on a separate sheet. The questions must be answered to the best of your knowledge

More information

Professional Indemnity Insurance for Surveyors and Property Consultants Proposal Form

Professional Indemnity Insurance for Surveyors and Property Consultants Proposal Form Professional Indemnity Insurance for Surveyors and Property Consultants Proposal Form Professional Indemnity Insurance for Surveyors and Property Consultants Proposal Form Please read the following carefully

More information

Professional Indemnity Insurance for Specialist Consultants Proposal Form

Professional Indemnity Insurance for Specialist Consultants Proposal Form Professional Indemnity Insurance for Specialist Consultants Proposal Form Professional Indemnity Insurance for Specialist Consultants Proposal Form Please read the following carefully before completing

More information

Management Consultants Professional Liability Proposal Form

Management Consultants Professional Liability Proposal Form Notice:Statement pursuant to Section 25(5) of the Insurance Act (Cap 142) or any amendments thereof; You are to disclose in this application, fully and faithfully, all the facts which you know or ought

More information

MISCELLANEOUS PROFESSIONAL INDEMNITY PROPOSAL FORM

MISCELLANEOUS PROFESSIONAL INDEMNITY PROPOSAL FORM MISCELLANEOUS PROFESSIONAL INDEMNITY PROPOSAL FORM IMPORTANT NOTICE TO THE PROPOSER TO COMPLETION OF THIS PROPOSAL FORM 1) Disclosure - Any material fact must be disclosed to Insurers. - A material fact

More information

Professional Indemnity Proposal Form

Professional Indemnity Proposal Form Professional Indemnity Proposal Form Accountants Please complete the whole form to the best of your ability, clarifying any areas where necessary and continuing on a separate sheet if required. A website,

More information

MISCELLANEOUS PROFESSIONAL INDEMNITY PROPOSAL FORM

MISCELLANEOUS PROFESSIONAL INDEMNITY PROPOSAL FORM MISCELLANEOUS PROFESSIONAL INDEMNITY PROPOSAL FORM Please Note: This is a proposal form for a policy relating to claims made against the Insured during the period of the policy only CLAIMS MADE. Please

More information

PROFESSIONAL INDEMNITY INSURANCE

PROFESSIONAL INDEMNITY INSURANCE BDB (UK) Limited 40 Lime Street, London EC3M 7AW PROFESSIONAL INDEMNITY INSURANCE ACCOUNTANTS PROPOSAL FORM 1 GUIDANCE NOTES This proposal must be completed in ink by a Partner or Director of the Proposer.

More information

I INSURANCE BROKERS PROPOSAL FORM PROFESSIONAL INDEMNITY

I INSURANCE BROKERS PROPOSAL FORM PROFESSIONAL INDEMNITY HCC International Walsingham House, 35 Seething Lane London EC3N 4AH, United Kingdom main +44 (0)20 7702 4700 facsimile +44 (0)20 7626 4820 I INSURANCE BROKERS PROPOSAL FORM PROFESSIONAL INDEMNITY IMPORTANT

More information

Construction Professional Liability Insurance Proposal

Construction Professional Liability Insurance Proposal AIG Europe Limited Proposer Details Name of Firm(s) Principal Address line one Principal Address line two City and postcode Telephone number Fax number Website address Is the Firm(s) a subsidiary of an

More information

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR INSURANCE INTERMEDIARIES

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR INSURANCE INTERMEDIARIES PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM FOR INSURANCE INTERMEDIARIES - 1 - P a g e CONTENTS 1. ADVICE ON COMPLETING THE PROPOSAL FORM 2. PROPOSAL FORM 3. BINDING AUTHORITY QUESTIONNAIRE 4. OTHER

More information

Securus Insurance Limited. Proposal Form. Accountants Professional Indemnity

Securus Insurance Limited. Proposal Form. Accountants Professional Indemnity Securus Insurance Limited Proposal Form Accountants Professional Indemnity Securus Insurance Limited Suite 3, Stafford House Strand Road Portmarnock Co Dublin Phone (01) 8464512 Fax (01) 8464522 Email

More information

Professional Indemnity Insurance for Marketing, Media and Advertising Proposal Form

Professional Indemnity Insurance for Marketing, Media and Advertising Proposal Form Professional Indemnity Insurance for Marketing, Media and Advertising Proposal Form Professional Indemnity Insurance for Marketing, Media and Advertising Proposal Form Please read the following carefully

More information

Architects Professional Liability Insurance Proposal

Architects Professional Liability Insurance Proposal AIG Europe Limited Proposer Details Name of Firm(s) Principal Address line one Principal Address line two City and postcode Telephone number Fax number Website address Is the Firm(s) a subsidiary of an

More information

INSURANCE BROKER AND INTERMEDIARIES PROFESSIONAL INDEMNITY PROPOSAL FORM

INSURANCE BROKER AND INTERMEDIARIES PROFESSIONAL INDEMNITY PROPOSAL FORM INSURANCE BROKER AND INTERMEDIARIES PROFESSIONAL INDEMNITY PROPOSAL FORM IMPORTANT NOTICE TO THE PROPOSER TO COMPLETION OF THIS PROPOSAL FORM 1) Disclosure - Any material fact must be disclosed to Insurers.

More information

Questionnaire & Application Pack. For. Business Consultants Professional Indemnity Insurance. This pack contains the following documents:-

Questionnaire & Application Pack. For. Business Consultants Professional Indemnity Insurance. This pack contains the following documents:- Questionnaire & Application Pack For Business Consultants Professional Indemnity Insurance. This pack contains the following documents:- Our FSA Keyfacts document explaining who we are. Our FSA Demands

More information

How To Write A Professional Indemnity Proposal Form For Management Consultants

How To Write A Professional Indemnity Proposal Form For Management Consultants Professional Indemnity Insurance Management Consultants Proposal Form Towergate Lifestyle Suite 4b, 1 Portland Street, Manchester, M1 3BE Tel: 0844 892 1789 Fax: 0844 892 1796 Email: lifestyle@towergate.co.uk

More information

Business Process Outsourcing/ Call Center Professional Liability Proposal Form

Business Process Outsourcing/ Call Center Professional Liability Proposal Form Business Process Outsourcing/ Call Center Professional Liability Proposal Form I. APPLICANT DETAILS Name of Insured: Address(es): Web Site Address: Establishment Date: II. BUSINESS ACTIVITIES 2. Please

More information

Management Consultants Professional Liability Proposal Form

Management Consultants Professional Liability Proposal Form AIG Insurance Hong Kong Limited Management Consultants Professional Liability Proposal Form I. APPLICANT DETAILS Name of Insured: Address(es): Web Site Address: Establishment Date: II. BUSINESS ACTIVITIES

More information

INDEPENDENT FINANCIAL ADVISORS PROFESSIONAL INDEMNITY PROPOSAL FORM

INDEPENDENT FINANCIAL ADVISORS PROFESSIONAL INDEMNITY PROPOSAL FORM INDEPENDENT FINANCIAL ADVISORS PROFESSIONAL INDEMNITY PROPOSAL FORM IMPORTANT NOTICE TO THE PROPOSER TO COMPLETION OF THIS PROPOSAL FORM 1) Disclosure - Any material fact must be disclosed to Insurers.

More information

Professional Indemnity Insurance Proposal.

Professional Indemnity Insurance Proposal. ProJuris Professional Indemnity Professional Indemnity Insurance Proposal. Important information What is a proposal? This proposal tells us information, which we need to know in order to decide whether

More information

DICKSON MANCHESTER. Charity and Association Liability Proposal Form. Proposal form for Insurance effected through Dickson Manchester & Co Ltd

DICKSON MANCHESTER. Charity and Association Liability Proposal Form. Proposal form for Insurance effected through Dickson Manchester & Co Ltd DICKSON MANCHESTER Charity and Association Liability Proposal Form Proposal form for Insurance effected through Dickson Manchester & Co Ltd A SUBSIDIARY OF HCC INSURANCE HOLDINGS, INC. Member of the General

More information

Professional Indemnity Insurance (Insurance Brokers)

Professional Indemnity Insurance (Insurance Brokers) Proposal Form Professional Indemnity Insurance (Insurance Brokers) ADNIC is a Public Joint Stock Company incorporated in the United Arab Emirates by Law. (4) of 1972, and it is governed by the provisions

More information

Professional Indemnity Insurance for Miscellaneous Professions Proposal Form

Professional Indemnity Insurance for Miscellaneous Professions Proposal Form Professional Indemnity Insurance for Miscellaneous Professions Proposal Form Important Notice 1. This is a proposal for a contract of insurance, in which Proposer or you / your means the individual, company,

More information

Professional indemnity insurance Insurance brokers & IFA s proposal form

Professional indemnity insurance Insurance brokers & IFA s proposal form Professional indemnity insurance Insurance brokers & IFA s proposal form Instructions Please provide a full answer to every question. Please ensure that all answers are typewritten or printed in block

More information

AUCTIONEERS & VALUERS ASSOCIATION OF AUSTRALIA

AUCTIONEERS & VALUERS ASSOCIATION OF AUSTRALIA Professional Indemnity Insurance Proposal Form AUCTIONEERS & VALUERS ASSOCIATION OF AUSTRALIA IMPORTANT NOTICE Your Duty of Disclosure Before you enter into a contact of general insurance with any insurer,

More information

Accountants Professional Indemnity Insurance

Accountants Professional Indemnity Insurance Accountants Professional Indemnity Insurance Instructions Please provide a full answer to every question. A Partner/Director/Principal must sign and date this form and any separate sheets on behalf of

More information

Insurance Brokers Professional Liability Proposal Form

Insurance Brokers Professional Liability Proposal Form Insurance Brokers Professional Liability Proposer Details 1. Name of Firm(s) 2. Principal address Postcode Tel No. Website 3. Date Firm Established 4. Please provide details of any subsidiary companies

More information

CATLIN HONG KONG LTD MISCELLANEOUS PROFESSIONS PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM

CATLIN HONG KONG LTD MISCELLANEOUS PROFESSIONS PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM CATLIN HONG KONG LTD MISCELLANEOUS PROFESSIONS PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM IMPORTANT NOTICE TO THE PROPOSER REGARDING COMPLETION OF THIS PROPOSAL FORM 1) Disclosure Any material fact

More information

Surveyors & Real Estate Professional Liability Proposal Form

Surveyors & Real Estate Professional Liability Proposal Form Notice:Statement pursuant to Section 25(5) of the Insurance Act (Cap 142) or any amendments thereof; You are to disclose in this application, fully and faithfully, all the facts which you know or ought

More information

Professional Indemnity Proposal Form Project Management

Professional Indemnity Proposal Form Project Management Professional Indemnity Proposal Form Project Management GUIDANCE NOTES Completing your proposal form Please complete all questions in full using the Additional Information section or separate sheets where

More information

Professional indemnity insurance Mortgage brokers & IFA s proposal form

Professional indemnity insurance Mortgage brokers & IFA s proposal form Professional indemnity insurance Mortgage brokers & IFA s proposal form Instructions Please provide a full answer to every question. Please ensure that all answers are typewritten or printed in block letters

More information

Professional Indemnity Insurance Proposal Form Miscellaneous

Professional Indemnity Insurance Proposal Form Miscellaneous Commercial & General Insurance Brokers (Aust) Pty Ltd Suite 4, 1016 Doncaster Road Doncaster East Victoria 3109 Phone: 1300 764 244 Fax: 03 8841 4299 Email: pi@cgib.com.au Web: www.cgib.com.au AFS License:

More information

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM - ACCOUNTANTS

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM - ACCOUNTANTS PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM - ACCOUNTANTS IMPORTANT Answer all questions. Blanks, dashes, answers known to underwriters or brokers or N/A are not acceptable and will delay consideration

More information

INFORMATION TECHNOLOGY PROFESSIONAL INDEMNITY PROPOSAL FORM

INFORMATION TECHNOLOGY PROFESSIONAL INDEMNITY PROPOSAL FORM INFORMATION TECHNOLOGY PROFESSIONAL INDEMNITY PROPOSAL FORM IMPORTANT NOTICE TO THE PROPOSER TO COMPLETION OF THIS PROPOSAL FORM 1) Disclosure - Any material fact must be disclosed to Insurers. - A material

More information

Accountants Professional Indemnity Insurance Proposal Form

Accountants Professional Indemnity Insurance Proposal Form Accountants Professional Indemnity Insurance Proposal Form Instructions This proposal form must be completed by a Principal, Director, Partner or Company Secretary of the Proposer. If there is insufficient

More information

Professional Indemnity Insurance for Insurance Brokers and Intermediaries

Professional Indemnity Insurance for Insurance Brokers and Intermediaries Professional Indemnity Insurance for Insurance Brokers and Intermediaries Proposal Form Important tice 1. This is a proposal for a contract of insurance, in which Proposer or you/your means the individual,

More information

Business Process Outsourcing / Call Center Professional Liability Proposal Form

Business Process Outsourcing / Call Center Professional Liability Proposal Form AIG Insurance Hong Kong Limited Business Process Outsourcing / Call Center Professional Liability Proposal Form I. APPLICANT DETAILS Name of Insured: Address(es): Web Site Address: Establishment Date:

More information

Professional Indemnity Insurance for Insurance Brokers

Professional Indemnity Insurance for Insurance Brokers Professional Indemnity Insurance for Insurance Brokers Proposal Form Please complete, sign and return together with the attachments to: Affinity A division of Lockton Companies LLP The St Botolph Building

More information

Professional Indemnity Proposal Form Surveyors

Professional Indemnity Proposal Form Surveyors Professional Indemnity Proposal Form Surveyors GUIDANCE NOTES Completing your proposal form Please complete all questions in full using the Additional Information section or separate sheets where necessary.

More information

Professional Indemnity Insurance Debt Management Consultants Proposal Form

Professional Indemnity Insurance Debt Management Consultants Proposal Form Professional Indemnity Insurance Debt Management Consultants Proposal Form The PI Desk Ltd Suite B, Sheffield Business Centre Europa Link, Sheffield, South Yorkshire, S9 1XZ Tel: 0114 242 1176 Fax: 0114

More information

ACCOUNTANTS PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM IMPORTANT FACTS RELATING TO THIS PROPOSAL FORM

ACCOUNTANTS PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM IMPORTANT FACTS RELATING TO THIS PROPOSAL FORM Australian Indemnity ACCOUNTANTS PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM IMPORTANT FACTS RELATING TO THIS PROPOSAL FORM The Purpose of this Proposal Form is to set out all relevant information for

More information

Security Consultants. Professional Indemnity. Proposal Form

Security Consultants. Professional Indemnity. Proposal Form Thompson Heath & Bond Limited 107 Leadenhall Street London EC3A 4AF Tel: +44 (0) 20 7469 0100 Fax: +44 (0) 20 7621 0661 www.thbgroup.com Lloyd s Broker Security Consultants Professional Indemnity Proposal

More information

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM Please answer all questions fully and if you have a brochure or any other information concerning your business please attach to this proposal. 1. Name of

More information

APPLICATION FORM. Professional Indemnity Insurance

APPLICATION FORM. Professional Indemnity Insurance APPLICATION FORM Professional Indemnity Insurance Accountants/Auditors Instructions to the applicant. A. Please answer all questions. The information is required to make an underwriting and pricing evaluation.

More information

PROFESSIONAL LIABILITY INSURANCE FOR CHARITIES, ASSOCIATIONS, SOCIETIES, CLUBS AND THE LIKE

PROFESSIONAL LIABILITY INSURANCE FOR CHARITIES, ASSOCIATIONS, SOCIETIES, CLUBS AND THE LIKE Important notice: PROFESSIONAL LIABILITY INSURANCE FOR CHARITIES, ASSOCIATIONS, SOCIETIES, CLUBS AND THE LIKE 1. This is a proposal for a contract of insurance, in which Proposer or you/your means the

More information

Accountants Professional Indemnity Insurance

Accountants Professional Indemnity Insurance Accountants Professional Indemnity Insurance Proposal Form 1. All questions must be answered giving full and complete answers. 2. Please ensure that this Proposal Form is Signed and Dated. 3. All fee or

More information

Professional indemnity insurance Management consultants proposal form

Professional indemnity insurance Management consultants proposal form Professional indemnity insurance Management consultants proposal form Instructions Please provide a full answer to every question. Please ensure that all answers are typewritten or printed in block letters

More information

SPECIFIED PROFESSIONS PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM

SPECIFIED PROFESSIONS PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM P.O. Box 1882 PC 114, Jibroo, Sultanate of Oman Tel. No.+968 24577 677 Fax +968 24577 678 SPECIFIED PROFESSIONS PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM SECTION 1 Proposer Details 1. Name(s) of Firm(s)

More information

Management Consultants. Professional Indemnity. Proposal Form

Management Consultants. Professional Indemnity. Proposal Form Thompson Heath & Bond Limited 107 Leadenhall Street London EC3A 4AF Tel: +44 (0) 20 7469 0100 Fax: +44 (0) 20 7621 0661 www.thbgroup.com Lloyd s Broker Management Consultants Professional Indemnity Proposal

More information

MISCELLANEOUS PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE

MISCELLANEOUS PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE HCC International Walsingham House, 35 Seething Lane London EC3N 4AH, United Kingdom main +44 (0)20 7702 4700 facsimile +44 (0)20 7626 4820 MISCELLANEOUS PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE

More information

Professional Indemnity Insurance for Professional Risks of building and engineering contractors Proposal Form

Professional Indemnity Insurance for Professional Risks of building and engineering contractors Proposal Form Professional Indemnity Insurance for Professional Risks of building and engineering contractors Proposal Form Professional Indemnity Insurance for Construction Industry Professionals Proposal Form Please

More information

Please complete the whole form to the best of your ability, clarifying any areas where necessary and continuing on a separate sheet if required.

Please complete the whole form to the best of your ability, clarifying any areas where necessary and continuing on a separate sheet if required. Professional Indemnity Proposal Form Insurance Brokers Please complete the whole form to the best of your ability, clarifying any areas where necessary and continuing on a separate sheet if required. A

More information

Professional Indemnity Insurance Proposal Form Management Consultants (with Recruitment / On-Hired Labour Addendum)

Professional Indemnity Insurance Proposal Form Management Consultants (with Recruitment / On-Hired Labour Addendum) Professional Indemnity Insurance Proposal Form Management Consultants (with Recruitment / On-Hired Labour Addendum) IMPORTANT NOTICE Your Duty of Disclosure Before you enter into a contact of general insurance

More information

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM

PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM Please answer all questions fully and if you have a brochure or any other information concerning your business please attach to this proposal. 1. Name of

More information

(Accountants) Proposal Form

(Accountants) Proposal Form Office Use: Company Ref Pos Caunce O Hara & Co Ltd City Wharf New Bailey Street Manchester M3 5ER Tel: 0161 833 2100 Fax: 0161 839 2100 (Accountants) Proposal Form PLEASE ENCLOSE WITH THIS PROPOSAL FORM:

More information

IMPORTANT INFORMATION REGARDING COMPLETION OF THIS FORM

IMPORTANT INFORMATION REGARDING COMPLETION OF THIS FORM Employment & Recruitment Agencies Professional Indemnity Insurance Proposal Form IMPORTANT INFORMATION REGARDING COMPLETION OF THIS FORM Method of Completion This proposal form may be completed in ink

More information

Solicitors Professional Liability Proposal 2013-14

Solicitors Professional Liability Proposal 2013-14 Solicitors Professional Liability Proposal 2013-14 Proposer Details Practice Title(s) (including service companies) Principal Address line one Principal Address line two City and postcode Telephone number

More information

Professional Indemnity Insurance Debt Management Consultants Proposal Form

Professional Indemnity Insurance Debt Management Consultants Proposal Form Professional Indemnity Insurance Debt Management Consultants Proposal Form Towergate Lifestyle Suite 6 The South West Centre Troutbeck Road, Sheffield, South Yorkshire S7 2QA Tel: 0114 250 0011 Fax: 0114

More information

Professional Indemnity Proposal Form. for. Accountants. Address: 5/3352 Pacific Highway Postal: PO Box 976. Springwood QLD 4127 Springwood QLD 4127

Professional Indemnity Proposal Form. for. Accountants. Address: 5/3352 Pacific Highway Postal: PO Box 976. Springwood QLD 4127 Springwood QLD 4127 Professional Indemnity Proposal Form for Accountants Address: 5/3352 Pacific Highway Postal: PO Box 976 Springwood QLD 4127 Springwood QLD 4127 Phone: 07 3387 2800 Fax: 07 3208 2200 Email: pidirect@pidirect.com.au

More information