First Aid / Health & Safety Quote

TRAINERS/PRACTITIONERS

(First Aid, Health & Safety, Security and Corporate)

To provide a quotation and then arrange insurance cover we need to collect some data from

you. We pledge to hold this information responsibly in accordance with our Privacy Notice.

Please note that if you or your company undertake work in any of the following sectors, our
insurance is not suitable for you: Aircraft/Space Industry, Asbestos, Chemical, Power Industry,
Offshore (Rigs. Platforms, Marine etc.) Pharmaceutical, Nuclear, Railways, Oil &/or Gas,
Amusement Park/Fairgrounds

Step 1 of 3

To provide a quotation and then arrange insurance cover we need to collect some data from you. We pledge to hold this information responsibly in accordance with our Privacy Notice

Please note that if you or your company undertake work in any of the following sectors, our insurance is not suitable for you: Aircraft/Space Industry, Asbestos, Chemical, Power Industry, Offshore (Rigs. Platforms, Marine etc.) Pharmaceutical, Nuclear, Railways, Oil &/or Gas, Amusement Park/Fairgrounds
Is your primary residence in the UK
Are you a Limited Company, Partnership or Sole Trader?
Name of the Insured:
Title First Last
Names of the insured:
Title First Name Last Name
Insured’s Date of Birth:
Date Format: MM slash DD slash YYYY
Full Address of the Insured:
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Main contact phone number:
Alternative contact phone number:
Email address

please ensure this is an email address you have regular access to this will be our primary method of communicating with you.
Under what name do you trade?
Please state the full business name as it should appear on the policy documents.
Do you have any employees, if so, how many?

Professional Liability Insurance Cover
When would you like the cover to start?
Date Format: MM slash DD slash YYYY
Cover Options:
A - First Aid Practitioner only: includes First Aid at work, Good Samaritans Acts, First Aid at Events. The use of Defibrillation Equipment, Portable Oxygen/Gases and Drugs is permitted when properly and suitably qualified.

B - First Aid Practitioner including Training: includes First Aid at work, Good Samaritans Acts, First Aid at Events plus Training and Instruction. The use of Defibrillation Equipment, Portable Oxygen/Gases and Drugs is permitted when properly and suitably qualified plus Training and Instruction.

C - First Aid Practitioner including Training plus Health & Safety Training, Consulting & Advice: includes First Aid at work, Good Samaritans Acts, First Aid at Events plus Training and Instruction. The use of Defibrillation Equipment, Portable Oxygen/Gases and Drugs is permitted when properly and suitably qualified. Further details of the cover provided under Health & Safety are available here.

D - Health & Safety Training, Consulting and Advice only: Further details of the cover provided under Health & Safety are available here

E - Corporate Training: includes Accelerated Learning, Business Coaching, Management Training, Team Building Training, Communications Training and Other Classroom Based Subjects.

F - Security Training: includes Conflict Management, Physical Intervention, Close Protection, Breakaway Training, Other Classroom Based Subjects.
Please select your Policy Limit of Indemnity:
How many regular practitioners/trainers will be covered under this policy, including yourself if applicable?
А regular trainer is someone who works in excess of 14 days per annum
Details of ALL regular trainers (including yourself):
Name Are they a First Responder/Paramedic? (YES/NO)

Optional Cover
Contingent/Vicarious Liability
Our scheme insurance provides cover directly to the trainer/ assessor /practitioner named on the policy. However, many engage additional help using other people who arrange their own insurance.

Where this relationship exists, it may not be sufficient for the trainer alone to have Professional Liability insurance because the aggrieved customer/client/ student /patient intent upon pursuing a claim, may seek to do so against that party with whom the class or treatment was arranged, as well as the instructor/practitioner involved. By arranging contingency cover, you can ensure that your vicarious liability is indemnified in case such a claim is made against you or your organisation.

The cost is based upon your working turnover and assumes that all regular instructors/practitioners have their own individual insurance in place. However, the contingency cost is a fraction of the standard individual rate payable for all regular trainers/practitioners, as might be expected.
Occasional Trainers
An occasional trainer is someone who will only work for a maximum of 14 days per policy period.
In addition to the persons named above do you require cover for additional practitioners to provide first aid at events?
Please select your annual turnover range:
Employers Liability
This type of insurance is a statutory requirement for anybody employing staff irrespective of whether wages/salaries are paid. All employers have an absolute duty of care to their workers, which explains why this class of insurance is mandatory in the UK.
Please confirm the value of your wage-roll:
What is your Employer Reference Number, or are you exempt?
Equipment / Property Cover
Equipment Cover Details
The cover provided is for ‘All Risks’ based on the sum insured nominated and subject to an unspecified item single article limit of £500.00. Any single item worth more must be individually specified.

Main Policy Exclusions:
- The first £200 of each Claim.
- Loss or damage by theft or any attempt thereat not involving entry to or exit from the Premises by forcible and violent means.
- Any property otherwise insured.
- loss or damage arising from wear and tear or from any process of cleaning, dyeing, restoring, adjusting or repairing.
- loss or damage arising from or attributable to the action of light or atmosphere, moths, parasites, vermin, corrosion, dampness, marring, scratching, bruising or deterioration.
- loss or damage (other than by fire) to any machine or apparatus arising from mechanical or electrical breakdown or derangement or arising from adjustment, maintenance or repair.
- erasure or distortion of information on computer systems or their records.
- loss by official confiscation or detention.
- loss of or damage to money, documents, securities, motor vehicles, caravans, boats, cycles, household goods, sports equipment or contact or corneal lenses.
- loss or damage by theft from an unattended motor vehicle unless it is securely locked at all points of access and is fitted with an anti-theft alarm and such alarm is in full and effective operation.
- loss or damage by theft from a saloon car unless all stock/equipment is kept in a locked boot.
- loss or damage by theft from an estate car, van or hatchback unless all stock is concealed from view.
- stock and equipment must be removed from any unattended motor vehicle outside Business hours and kept in the Insured’s locked Premises or locked private dwelling house, unless the unattended vehicle is kept in a locked garage.
- loss of or damage to any item exceeding £500 unless specified in the proposal.
Do you require equipment / property cover?
Equipment/Property Sum Insured £
Do you wish to cover any individual items with a value in excess of £500?
If so, please give details here.
Declaration for Individuals/Sole Traders:

I am aware of no claims, suits or any circumstances with could reasonably lead to a claim being made, or action initiated against me.

I confirm that no company has declined my proposal, cancelled or refused to renew a policy or required special terms or conditions.

I do not have any convictions that are not spent under the Rehabilitation of Offenders Act.

I have never been declared Bankrupt or insolvent or been disqualified from being a company director.

I have never been subject to a disciplinary hearing or suspended from any Professional Organisation.

I confirm I am fully qualified for all the activities required and my qualifications are kept up to date where applicable.

I confirm I have a UK National Insurance Number

I confirm I am resident in and my business operates from the United Kingdom of Great Britain and Northern Ireland, the Channel Islands or the Isle of Man and I confirm that I do not undertake any work in the following sectors: Aircraft/Space, Asbestos, Chemical, Power Industry, Offshore (Rigs. Platforms, Marine etc.) Pharmaceutical, Nuclear, Railways, Oil &/or Gas, Amusement Park/Fairgrounds

I confirm that the answers given are true and that I have not withheld any material fact. I can also confirm that I have read and understood the Terms of Business Agreement.
Please select your answer:
If you disagree with the Declaration, please provide full details here
Declaration for Limited Companies/Partnerships

The Company’s Proprietors, Directors or Partners confirm they are aware of no claims, suits or any circumstances with could reasonably lead to a claim being made, or action initiated against them.

The Company’s Proprietors, Directors or Partners confirm no company has declined their proposal, cancelled or refused to renew their policy or required special terms or conditions.

The Company’s Proprietors, Directors or Partners confirm they do not have any convictions that are not spent under the Rehabilitation of Offenders Act.

The Company’s Proprietors, Directors or Partners confirm they have never been declared Bankrupt or insolvent or been disqualified from being a company director.

The Company’s Proprietors, Directors or Partners have never been subject to a disciplinary hearing or suspended from any Professional Organisation.

The Company’s Proprietors, Directors or Partners confirm all trainers, assessors, consultants and practitioners engaged are properly and adequately qualified for the work they undertake on their behalf and their qualifications are kept up to date where applicable.

The Company’s Proprietors, Directors or Partners confirm that anyone taking out Personal Accident cover has a UK National Insurance Number.

The Company’s Proprietors, Directors or Partners confirm the business operates from the United Kingdom of Great Britain and Northern Ireland, the Channel Islands or the Isle of Man and they confirm that they do not undertake any work in the following sectors: Aircraft/Space, Asbestos, Chemical, Power Industry, Offshore (Rigs. Platforms, Marine etc.) Pharmaceutical, Nuclear, Railways, Oil &/or Gas, Amusement Park/Fairgrounds.

The Company’s Proprietors, Directors or Partners confirm that the answers given are true and that we have not withheld any material fact. We can also confirm that I have read and understood the Terms of Business Agreement.
Please select your answer:
If you disagree with the Declaration, please provide full details here
If you disagree with the Declaration, please provide full details here

Title	First Name	Last Name

Name	Are they a First Responder/Paramedic? (YES/NO)

TRAINERS/PRACTITIONERS

Step 1 of 3

Professional Liability Insurance Cover

Optional Cover

Equipment / Property Cover

Equipment Cover Details