Balens Fact-Find Form

Welcome to the Balens Business Insurance Fact Find Form.

Thanks for your valued enquiry!
In order for us to provide you with a quotation for you and/or your business, we require you to complete the following questions. Depending on the sections of cover you require, further questions may appear.
Please do your best to answer as much as you can, and as accurately as possible.

If there is anything further that you are unclear about, or you you require any assistance, please do not hesitate to contact us in the Commercial Department on 01684 580776. 

INSURANCE OPTIONS AVAILABLE TO YOU

There are various insurance options available to you...
 
Please read the following information and tick the option(s) that you require.
 
OPTION 1 – Cinics &/or Surgeries Including Options for Training Schools
(Professional, Public and Products Liability Insurance for you as a business)
 
Cinics/Surgeries
The policy will provide cover for the treatment, advice, classes, instruction or therapies that you offer.
Cover is provided whether the above is carried out by any employed or self-employed person for claims made against the corporate name.
The cost will be based on the turnover and activities of the business.  
Commercial Legal Expenses Insurance is not automatically included in the package cover provided
You can opt to add this, and other covers, on later in the form
Please complete the relevant sections of the proposal form shown below.
 
Training Schools
The policy will provide cover for the advice, delivery of courses, supervision of students where your business is providing a certificate of competancy.
Cover is provided whether the training is carried out by any employed or self-employed person for claims made against the corporate name.
The cost will be based on the turnover of the business, number of students and activities.
Commercial Legal Expenses Insurance is not automatically included in the package cover provided
You can opt to add this, and other covers, on later in the form
Please complete the relevant sections of the proposal form shown below.
OPTION 2 - Business Contents/Equipment Cover.
If you own and/or are responsible for insuring business contents/equipment, stock, computers and/or electrical equipment you may wish to consider arranging a business contents policy (known as Business Protection Insurance) to cover loss of or damage to such assets. The policy automatically provides cover for Money, Glass, Employers Liability, Public liability & Personal Accident, up to set limits. You have the option to add on cover for Business Interruption, Buildings cover and other business covers.
PLEASE CONFIRM THE INSURANCE OPTION(S) YOU REQUIRE *
*IT IS EXTREMELY IMPORTANT THAT YOU READ THE 'BALENS TERMS OF BUSINESS' AND THE 'INSURANCE ACT DOCUMENT' PRIOR TO SUBMITTING ANY APPLICATION FOR INSURANCE.