Employment Law > Waring Protection Package Form

Waring Protection Package Form

Name of the firm*  
Your name*  
Contact Number*  
Email*  
What is the nature of the business  
Please confirm the current annual wage role for all members of staff, net of employers national insurance and wage contributions £  
How many full time employees are there?  
Has the company been subject to any claims in the last three years?   Yes No
Is health &safety criminal prosecution required?   Yes No
Please identify the indemnity limit required   £50,000 any one claim
       £500,000 in the aggregate
£100,000 any one claim
       £1,000,000 in the aggregate
Please advise what policy excess is required   £500 £1,000 £5,000
Other £
How did you hear about us?  
 
*Mandatory Fields