Surgery Insurance Review

First Name *

Policy holder name *

Postcode *

Email address *

Company Status *

Year the business was established *

Year property built *

Annual turnover/ Gross income (£) *

Number of claims in last 5 years *

RISK & SECURITY DETAILS

Any history of OR suffered from subsidence to own or adjacent property? *

Yes No

Is any part of the property shared or let out? *

Yes No

Are all final exit doors fitted with a key operated multi-locking system with at least 3 locking bolts & all accessible windows fitted with key operated locks? *

Yes No

Intruder alarm approved and annually maintained alarm fitted (include type & name) *

Is there any flat roof at the premises? If yes, what percentage of the roof area is it and what is the construction of the flat roof?

Date cover to start *

Renewal / current premium

Contents Insurance cover (£) *

Computer Equipment Insurance cover (£) *

Tenants Improvement cover (£) *

Terrorism cover needed *

Yes No

Cover for Commercial Legal assistance needed *

Yes No

Rental Income Cover required *

Yes No

Other than price what is important to you?

Wesleyan Assurance Society and the Wesleyan Group of companies, would like to keep you up to date with relevant news, products and related services we provide. We may occasionally ask you to share your experiences with us for market research purposes. We can stay in touch with you using the following channels.

If you want to opt-out of receiving information from us, you can do this at: www.wesleyan.co.uk/customer-services or by calling our Customer Relationship Centre on 0800 058 2965. Our opening hours are Monday to Friday 8.30am to 6.30pm and on Saturdays 9am to 2pm.

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Please choose from the following:

Surgery Insurance Quote Form

Surgery Insurance Review