Courier Enquiry Courier Enquiry Name of Insured Business Description Address When was the Business Established When is cover to start from How Many Vehicles are owned or operated by the Insured Gross Vehicle Weights Anticipated Turnover Goods in TransitYes Full Value Liability Limit Required Territorial Limits Do you Use SubcontractorsYesNo If Yes what is the Anticipated turnover from the use of Subcontractors Do you ensure that the Subcontractors have no less cover than yours in respect of both the Goods in Transit and Public Liability Sections?YesNo Do you Carry Hazadous GoodsYesNo If Yes What goods are carried Are these carried as full or Part Loads? Employers LiabilityYes ERN / PAYE Reference Employees Wage Roll Drivers Drivers Labour Only Subcontractors Clerical Clerical Directors Warehouseman Fork Lift Truck Drivers Public LiabilityYes Indemnity Limit required Do you undertake activities other then collection and deliveryYesNo If Yes please provide full details Have you or any partner or director, as individuals or in connection with any business, been:YesNo Charged or convicted with a criminal offence other than a motoring offenceYesNo Declined or refused insurance cover or had cover cancelled or been subject to special terms in respect of any cover that you have asked us to insure under this policy;YesNo Subject to a CCJ or bankruptcy or to any voluntary or mandatory insolvency or winding-up proceedings;YesNo Been disqualified under the Company Directors Disqualification Act 1986 or any subsequent legislation.YesNo If Yes to any of the above please provide full details: Captcha 5 + 4 = ? This CAPTCHA helps ensure that you are human. Please enter the requested characters.
