Home » Request a Quote » Directors and Officers Quote
Title* MrMrsMissMsOther
First name*
Surname*
DOB*
Email Address*
Contact Telephone Number
Additional telephone number (optional)
Begin/renewal date?*
Current Insurance Broker*
Current Insurer*
New Business Name*
Business Category*
Specific business/trade
Company Description*
Address Number*
Postcode*
Trading (in Years)
Annual Turnover*
Annual Wage*
No of Employees*
No of years claim free trading*
Is your company registered in the UK?* YesNo
Company Number*
Does your company have any assets in the USA or Canada?* YesNo
Are your Reports and Accounts out of date or overdue at Companies house?* YesNo
Has your latest filed Report and Accounts shown a Net Profit?* YesNo
Has your latest filed Report and Accounts shown a positive Net Worth?* YesNo
Have you or any past Directors or Officers ever made a claim under any Directors and Officers policy?* YesNo
Are you aware of any circumstances which may lead to a claim against any past or present Directors or Officers of your company?* YesNoBack
To find out more about our Services please contact our team today on T. +44 (0) 28 9032 9042 or fill out the form below:
Your name
Your email
Your phone
Subject
Your message (optional)