HR Compass Questionnaire

What will be the cost for my business?

Please complete this questionnaire to enable us to provide you with an idea of the cost of the package for your business. There is no obligation for you to proceed with the terms indicated. A firm quotation can only be provided upon receipt of a subsequent proposal form.Please note that, upon assessment of the proposal form should the information be materially different, underwriters may change the terms or premium indicated at this stage.

Name of your firm (required)

What is the nature of your business?

Please confirm the current annual wage-roll for all members of staff, net of Employer’s National Insurance and Pension Contributions (this amount should include all Partners/Directors) (required)

How many people does the business employ full time and part time?

Has the business been subject to any employment law claims within the last three years?
YesNo

If yes, how many and details

Is Health & Safety Criminal Prosecution Cover required?
YesNo

Please identify the Indemnity Limit required.
£50,000 any one claim £500,000 in the aggregate£100,000 any one claim £1,000,000 in the aggregate

Please advise what policy excess would be required.
£500£1000£5000

Other:

Please confirm your contact details

Your Name

Telephone

Email

Postal Address