Proposal Form
Full name of Proposer including trading names, group companies and subsidiaries that are to be covered by the policy
Address
Please list names and dates of birth of all Company Directors/Partners
Background of Partners/Directors including number of years experience in the Security Industry
Date Established
Telephone Number and Person to Contact
Fax Number
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 Trade Association or Regulatory Body? If so, please provide details:
Are you an approved SIA Contractor?
Nature of security work undertaken; please state below categories:
 a) Static/Mobile Guards
Yes  No
 b) Retail Security
Yes  No
 c) Cash Carrying
Yes  No
 d) Installation of Alarms and other Security Systems
Yes  No
 e) Any other work; please supply details:
 
   
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