Proposal Form
For Suppliers and Installers of Fire and Intruder Alarms and other Security/Fire Equipment
 
1. PROPOSER DETAILS
Full name of Proposer including all trading names, group companies and subsidiaries that are to be covered by the policy
Address
Telephone Number and Person to Contact
Fax No
Email Address
 
Date Established
 
Please list the names, dates of birth and background of all the Company Directors/Partners including number of years experience in the Security Industry
If you require Employers’ Liability cover, please supply your Employer PAYE Reference(s). (This information is required for us to provide Employers’ Liability cover. Where you have more than one PAYE Reference, please advise each one making it clear which company they apply to)
If you do not have a PAYE Reference, please confirm that you are exempt and give the reason.
Are you a member of any Regulatory Body or Trade Association? If so, please provide details
If not already a member, have you applied or is it your intention to apply for membership of any Regulatory Body or Trade Association?
Yes  No
Are you SIA Approved Contractors?
Yes  No
Business Description (full details of all activities to be covered)
   
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