Insurance Application

Complete this form and we'll find you the most competitive care insurance quote.

Company Details

Business Activities

Staffing

Coverage Needed

Financial Info

Claims History

Trading Name *

Legal Entity Type *

Companies House / Charity No.

Full Business Address *

Contact Person *

Job Title

Phone / Mobile *

Email Address *

Website

CQC / Ofsted Registration No.

Type of Care Service *

Years in Operation *

Brief Description of Your Service *

Do you work with vulnerable adults or children? *

Do staff administer medication? *

Do you provide personal care? *

Total Employees *

No. of Carers / Nurses

Administrative Staff

Volunteers

Approximate Annual Payroll (£) *

Cover Types Required *

Public Liability Employers Liability Professional Indemnity Property / Contents Insurance Management Liability Cyber Insurance Business Interruption

Minimum Cover Level Required

Current Insurance Renewal Date

Annual Turnover (£) *

Do you use subcontractors?

Have you made any insurance claims in the last 5 years? *

Please provide details of each claim

Additional Information

I confirm the information provided is accurate and complete to the best of my knowledge. I understand that any inaccuracy may affect the validity of any cover arranged. I agree to the Privacy Policy.

What happens next?

Our team will review your application and contact you within 1 working day with tailored insurance quotes from specialist care insurers.

No obligation to proceed
Competitive specialist rates
Expert support throughout

Step 1 of 6

Insurance Application

1 Company Details

2 Business Activities

3 Staffing Information

4 Insurance Requirements

5 Financial & Business Info

6 Claims History & Declaration

What happens next?

Application Submitted!