Proposal Form - Alarm & Fire Protection Industry
If you do not understand any terms in this form please contact us for further information or visit www.camberfordlaw.com/glossary

1. PROPOSER DETAILS

Full name of Proposer including all trading names, group companies and subsidiaries that are to be covered by the policy
Address
Telephone Number and Person to Contact
Email Address
Date Established
Please list the names, dates of birth and background of all the Company Directors/Partners including number of years experience in the Security Industry.
NameDate of BirthNo. of Years
Experience
Details of Experience
If you require Employers’ Liability cover, please supply your Employer PAYE Reference(s). (This information is mandatory. Employers’ Liability cover cannot be provided without it. Where you have more than one PAYE Reference, please advise each one making it clear which company they apply to). Further information can be found at www.ELTO.org.uk
If you do not have a PAYE Reference, please confirm that you are exempt and give the reason.
Are you a member of any Regulatory Body or Trade Association?
If not already a member have you applied or is it your intention to apply for membership of any Regulatory Body or Trade Association?
Do you have a Risk Management policy in force that complies with The Control of Asbestos Regulations 2012?
Yes  No
Are you SIA Approved Contractors?
Yes  No
Business Description