Please fill in your details to get a quote. You will need to answer all of the questions to get an accurate quotation.

Please call us on 0800 038 5221 if you need any help filling out the form or if you have any other questions.

 

Contact Details:-


Pub Details:-

Please enter numerical values.

£

£

£

£

£

£


Has the proposer:-

1. Ever had a proposal for insurance declined or had special terms applied by an insurer?

PLEASE SELECT


2. Ever been convicted of or charged but not tried with any offence, other than parking or speeding offences or those which are now spent under the Legal Aid, Sentencing and Punishment of Offenders Act 2012?

PLEASE SELECT


3. Ever been convicted of, or charged but not tried with any offence breach of health and safety legislation?

PLEASE SELECT


4. Ever been made subject to a County Court Judgement (or Scottish Equivalent) which remains outstanding?

PLEASE SELECT


5. Ever been declared bankrupt or insolvent or been subject of bankruptcy proceeding?

PLEASE SELECT


6. Had more than two losses or incidents giving rise to a loss whether insured or not during the last three years?

PLEASE SELECT


Does the Micropub at the above address:-

7. Provide any hot food?

PLEASE SELECT


8. Allow any live music or entertainment?

PLEASE SELECT


9. Open for more than 12 hours and / or beyond 11pm?

PLEASE SELECT


10. Have an annual turnover exceeding £250,000 per annum?

PLEASE SELECT


11. Employ Security or Door Staff either directly or as sub-contractors?

PLEASE SELECT


Is the property to be insured:-

12. Constructed of brick, stone or concrete and the external surface of the roof constructed of slates, tiles,concrete, asphalt or of any entirely incombustible mineral ingredient other than flat roofs?

PLEASE SELECT


13. Located within 250 metres of a river, stream, tidal water or other water course and ever been flooded or any neighbouring properties ever been flooded?

PLEASE SELECT


14. Free from signs of internal or external stepped or diagonal cracking, and/or are currently being monitored for subsidence, heave or landslip, and/or are aware of any property within 50 metres of the property that have been the subject of an occurrence of subsidence, heave or landslip in the last 25 years?

PLEASE SELECT


15. A listed building (meaning that is appears in the Statutory List of Buildings of Special Architectural or Historic Interest)?

PLEASE SELECT


16. In a good state of repair and will be so maintained?

PLEASE SELECT


17. Heated only by fixed gas or oil central heating or fixed electric storage or convector heaters?

PLEASE SELECT


18. Protected by a level of security that conforms to a minimum of 5 lever mortice deadlocks on all entry and exit doors and / or shutters?

PLEASE SELECT


19. Is the Interest of any Bank or Building Society to be noted?

PLEASE SELECT


20. Is this a new start up?

PLEASE SELECT


Please let us know where you found out about Micropub Insure.


Share This