Insurance Insurance Details Name of Insurer: Address: Phone: Fax: Email: Policy Number: Expiry Date: Public Liability Value: Asset Value: Interim Agreements Interim Agreements Table List below all the authorities and/or emergency services you have sent the Advice to “Initial Hold an form: Event” Name Permit Permit Further List Further Comp- Issued No. Documents Documentation Required leted Yes or No Required? Yes or No 17
Insurance Insurance Details Name of Insurer: Address: Phone: Fax: Email: Policy Number: Expiry Date: Public Liability Value: Asset Value: Interim Agreements Interim Agreements Table List below all the authorities and/or emergency services you have sent the “Initial Advice to Hold an Event” form: Name Permit Issued Yes or No Permit No. Further Documents Required? Yes or No List Further Documentation Required Comp- leted 17