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Fleet Insurance quote

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Proposer

Client details

First Name

Last Name

Date of Birth

Email Address

Inception date

Expiry date

Proposal Questions

Do you consider the client to be a vulnerable customer? Yes No Select Yes or No

Vulnerable category

...Sub category

Have you, or any director or partner of the business been convicted, cautioned or charged with any non-motor criminal offence? Yes No Select Yes or No

Have you, any partner or director been declared bankrupt ? Yes No Select Yes or No

Have you, any partner or director had any insurance cancelled, turned down or had special terms applied to insurance ? Yes No Select Yes or No

Have you, any partner or director been investigated under the health and safety at woork act ? Yes No Select Yes or No

Are you aware of the importance of declaring all meterial facts pertaining to this insurance ? Yes No Select Yes or No

Correspondence address

Postcode

Property Name / Number

Street

City / Town

County

Additional information

Policy Information Booklet

Policy Wording

Why choose us

Over £330 million gross premium written
Fully transparent custom policies to suit you
Proud to deliver to both direct and wholesale clients
Award-winning in-house claims team
Broker at Lloyds of London

SJL Insurance Services, The Kays Building, The Tything, Worcester, United Kingdom WR1 1HD.

SJL Insurance Services is a trading name of SJL (Worcester) Ltd and is authorised and regulated by the Financial Conduct Authority (ref no. 763599). For more information please visit www.fca.gov.uk.