Enquiries

You can request one of our PDF Application Forms by clicking here.

Alternatively you may prefer to make an online Enquiry, which will be processed by one of our professional team and we will respond quickly.

For all Professional Indemnity, Commercial Combined Packages, CSIB Specialist Packages & other enquiries please Contact Us directly.

Surety Enquiry

Please complete this form as fully as possible so that we may process your enquiry.

Surety Enquiry

Your Contact Name: *

Your Position: *

Business Name: *

Address: *

Registered Office (if different from above):

Parent/Associate Company

Telephone: *

Email: *

Business Description: *

Type of Bond required: *

Bond Amount: *

Please indicate type of Beneficiary: *

Name of Beneficiary: *

When will the Bond be released? *

(if Specific Date please advise):

Description of Work to be undertaken *

Location of Contract *

Contract Price *

Work Commencement Date: *

Contract Period: *

Maintenance Period (if applicable):

Contract Conditions i.e. ICE, JCT etc.:

Method of Payment

Retention %

Has the Contract been won? *

Yes

How did you hear about CSIB? *

Liability Insurance Enquiry

Please complete this form as fully as possible so that we may process your enquiry.

Liability Insurance Enquiry

Business Name: *

Date Established *

Address: *

Email: *

Post Code: *

Employer PAYE/ERN No.

Telephone: *

Your Position *

Business Description: *

PAYROLL (please show split as requested)

Clerical/Managerial

Manual

Own Premises

Trades 1)

Work Away From Own Premises

Trades 2)

Payments To Bona Fide Subcontractors

Trades 3)

Work At Height

Heat Work

Up To 15m

Own Premises

Above 15m

On Site

Turnover

Last year (actual)

This year (forecast)

Supply Only

Supply Only Last Year

Supply Only This Year

Supply & Construct

Supply & Construct Last Year

Supply & Construct This Year

Existing Insurance

Renewal Date

Insurer

Last Premium

Renewal Date *

Insurer *

Last Premium

Claims History *

How did you hear about CSIB? *