LRMS Liability Plus | Quotation Form | Specialist Animal Liability Insurance. Public Liability, Employers Liability, personal indemnity, loss of key cover

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General enquiry

Insurance for
Small Holders
• Alpaca
• Cattle
• Goats
• Pigs
• Poultry
• Sheep
• Other Animals
Rescue Centres
Working Dogs
Security Dogs
Sniffer Dogs
Shows and Events

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Smallholders Insurance Quick Quote Form

For Smallholder insurance quotations only. Please contact us or use the general enquiry form for other business activities.

First Name(s):

Surname:

Company Name: (if applicable)

Telephone:

Email:

Fax:

Address:

Address (line 2)

Town/City:

County

Post Code

What insurance cover do you require?

Employers Liability

and/or

Public Liabilty Cover
£1 Million
£2 Million
£5 Million

When do you need the cover to begin?

immediately
or starting from (dd/mm/yyyy)

Number of employees? (including helpers, volunteers, staff and yourself):

	Owners or Business partners
	Full time employees
	Part time employees
	Helpers/Volunteers

Have you made any claims in the last 3 years?

Yes

If yes, please give details;

How many acres in your smallholding?

acres

What kind of animals do you keep?:
(Choose any applicable)

Sheep, goats or alpaca

Cattle

Pigs

Poultry

Horses

Number of horses:

Use(s) of horses:

Other animals (Please specify)

How long have you been keeping animals?

Less than 12 months

More than 12 months

Comments:

Where did you hear about us?

LRMS Liability Plus News, Updates and Offers:
(NB: We will not supply your details to any other company)

Enquiries


	Tel: 01284 736 878
	Fax: 01284 736 879
	E-mail: info@lrmsliabilityplus.co.uk
	General enquiry

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