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Waring Protection Package Form
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> 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