Member Insurance Policy Proposal Form for Bespoke Cover
A tailored policy for members with more in-depth requirements than simple PPL cover.
Please enter your full details
Cover Required Section 1 - Work and Materials
Section 2 - Tools, Equipment and Other Property
Portable Property Values Used Away From Your Studio
Note: Cover under this section automatically applies if either Sections 1 or 2 have been selected, materials, tools, equipment and other property.
Employers', Public and Products Liability
Estimated Employment Costs
In respect of the Period of Insurance requested above, please provide estimates for the following estimated payments to:
In respect of the Period of Insurance requested above, please provide estimates for the following:
Information About Your Studio Premises
In resect of all your studio premises, are the premises:
Information About Your Artistic Practice
In connection with your practice, do you:
Please disclose any insurance claims made in connection with your artistic practice in the previous 5 years:
Please also include details of any incidents that would have formed a valid claim under this policy even if no claim was actually made.
General Disclosure and Material Information
In relation to your artistic practice, have you or any business partners (or, if a company, any director):
I/We declare that to the best of my/our knowledge or belief, the particulars and statements given in this document and any additional information provided to Hencilla Canworth are true and complete.
Thank you for submitting this form to request a quotation for a bespoke insurance policy.
The details have been passed directly on to our broker who will contact you with your quotation.
If you have any questions, please do not hesitate to ask.