Window Cleaner Insurance Quote

* Required Information.

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Personal Information

Proposer Name *

Address *

Postcode *

Email *

Telephone *

Mobile

Date of Birth

Please Select the Day, Month & Year you were born

Day: *

Month: *

Year: *

What directed you to our Website? *

Occupational Information

Company Name *

Type of Company *

Apart from Window Cleaning please list any other activities *

Number of Years Experience *

Type of premises worked on i.e. Commercial, Residential *

Maximum height worked at *

Number of employees *

How are windows accessed i.e. ladder, pole system, tower, cranes? *

Claims

Claims Experience (over last 5 years), please include date, details and amount of claim

Have you any criminal convictions or prosecutions for fraud or dishonesty or had an insurance cancelled, special terms imposed, been bankrupt or insolvent? *

Yes

If Yes Please provide details

Cover Requirements

Level of Indemnity required *

Cover for Tools (If yes complete below) *

Yes

Value of Tools

Maximum single article limit

Where kept overnight?

Is Personal Accident cover required *

Yes

Further Information

Please use this space to give any other information

Terms & Conditions

I understand Ryan Insurance Group use a select panel of insurers for this type of business
My quotation will be valid until the end of the current month
I am obliged to provide all material facts that may affect the rating or acceptance of the policy, as failure to do so could invalidate my insurance cover
Ryan Insurance Group is obliged by law to give me the opportunity to hear how they give advice, deal with compensation and handle complaints. This information is contained within their terms of business agreement (attached).

Agreement

I have read and agree to the terms and conditions above: *

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