Octagon House, 18 Nash Green, Hemel Hempstead, Herts. HP3 8AA        Phone :   01442 242 400
Tradesman
 
Name:  
Email :  
Business postcode :  
Phone No :  
Business Address :  
Main trade :  
When do you want cover to start? (dd/mm/yyyy) :     
Are you a Limited Company :
Yes: No
How many manual employees do you have including manual directors or proprietors :

  
How many clerical employees do you have including clerical directors or proprietors :  
Please indicate the number of people using power driven woodworking machines other than portable tools :  
Do you use welding or cutting equipment or other equipment or processes involving the application of heat away from the premises? :

 
Have you sustained any loss, damage, injury or disability or incurred any liability (whether insured or not) during the past 3 years in connection with your business? :

 
Yes: No