Quote - Insure Me 4 Less

Step 1 of 4 - General Information

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What is the full trading name of the business?*
Risk Address*
Street Address Address Line 2 City County Post Code Country
Email Address*
Contact Number*

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Primary Trade*
Are beauty treatments or hairdresser services provided?*
Do you offer any of the treatments below? (if so, please select)*
How many qualified therapists require Acid Peels – 40% Glycolic Acid Peels treatment?*
Please enter a number greater than or equal to 1.
How many qualified therapists require Carbon Rejuvination treatment?*
Please enter a number greater than or equal to 1.
How many qualified therapists require Dermaplaning treatment?*
Please enter a number greater than or equal to 1.
How many qualified therapists require Dermaroller treatment?*
Please enter a number greater than or equal to 1.
How many qualified therapists require Infra Red Sauna treatment?*
Please enter a number greater than or equal to 1.
How many qualified therapists require Intense Pulsed Light Hair Removal And Other Light Assisted Treatments treatment?*
Please enter a number greater than or equal to 1.
How many qualified therapists require Laser Hair Removal treatment?*
Please enter a number greater than or equal to 1.
How many qualified therapists require Laser Weight Loss (non surgical and does not pierce the skin) treatment?*
Please enter a number greater than or equal to 1.
How many qualified therapists require Microneedling treatment?*
Please enter a number greater than or equal to 1.
How many qualified therapists require Plasma Pen treatment?*
Please enter a number greater than or equal to 1.
How many qualified therapists require Scalp Pigmentation treatment?*
Please enter a number greater than or equal to 1.
How many qualified therapists require Ultrasound Cavitation treatment?*
Please enter a number greater than or equal to 1.
How many qualified therapists require Cryolypsis/Cryogenic Lipolysis treatment?*
Please enter a number greater than or equal to 1.
How many qualified therapists require Carbon Facial Peels treatment?*
Please enter a number greater than or equal to 1.
How many qualified therapists require Shrinking Violet treatment?*
Please enter a number greater than or equal to 1.

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Is Buildings (excluding tenant's improvements and landlord's fixtures and fittings) cover required?*
What is the cost to reinstate the building?*
Is Tenant's improvements cover required?
Please state amount of tenants improvements required:*
Is Landlord's Fixtures and Fittings cover required?*
Landlord's Fixtures & Fittings:*
Business Contents / Fixtures & Fittings including Computer Equipment:*
General stock:*
Stock of Wines and Spirits:*
Stock of Tobacco, Cigarettes and Cigars:*
Stock of Mobile Phones:*
Stock of Jewellery:*
Stock of Power Tools:*
Other Stock and Goods held in Trust:

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How many incidents of claims and/or losses have there been at the property to be insured within the past 5 years, whether insured or not?*
Date of claim/loss*
Date Format: DD slash MM slash YYYY
Type of claim/loss*
Claim/loss details*
Amount paid*
Amount outstanding*
Please provide details*
Date of claim/loss 2*
Date Format: DD slash MM slash YYYY
Type of claim/loss 2*
Claim/loss details 2*
Amount paid for claim/loss 2*
Amount outstanding for claim/loss 2*
Please provide details for claim/loss 2*
Number of years without claims?*

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