ANNUAL LIABILITY INSURANCE FOR EVENT ORGANISERS Proposal Form & Summary of Cover Your event, our risk There is a summary of key features of this insurance at the end of this form Full descriptions of cover can be found on our web site including a downloadable pdf brochure. Quotations will include full policy wording and any endorsements, all in Plain English. For guidance on completion of this form please call us on 01206 711976 or e mail questions to If we have completed this form using the information you have given to us, please check all the answers and fill in any relevant gaps. If information does not fit into a box at the end of the form. If you would like to proceed with the insurance – see “Additional Information” section please sign and date the declaration at the bottom of the form. ABOUT YOU: Name of The Insured: Contact Name Title First Name Surname : ADDRESS Building : No & Road : District : Postal Town : County/State : Postcode : Tel. : Country : Fax. : E-mail : REGULATION For regulatory purposes please confirm are you: a business with an annual turnover below £ 1 million YES NO a private individual (a person acting outside your business, trade or profession)? YES NO This insurance is subject to English Law. If You require JURISDICTION different jurisdiction please name country: If you are in a country where English is not the first POLICY LANGUAGE language, do you agree to accept a policy document in YES NO English language? NORTH AMERICAN Do you have any assets in or ? YES NO ASSETS INSURANCE HISTORY How many events did you insure in the last 12 months? Previous Insurers: BUSINESS ACTIVITIES Please indicate in which areas of business your company is engaged. Please detail all areas of business activity to ensure that the correct cover is provided. Professional organisers please note: where it appears on this form the total value of events (not just “Turnover” means commissions/fees) LAST 12 MONTHS NEXT 12 MONTHS Activity Description Number of Number of Turnover Number of Number of Estimated Turnover events attendees events attendees Event Management in respect of Meetings/Seminars & Conferences s
ANNUAL LIABILITY INSURANCE FOR EVENT ORGANISERS Proposal Form & Summary of Cover Your event, our risk There is a summary of key features of this insurance at the end of this form Full descriptions of cover can be found on our web site including a downloadable pdf brochure. Quotations will include full policy wording and any endorsements, all in Plain English. For guidance on completion of this form please call us on 01206 711976 or e mail questions to If we have completed this form using the information you have given to us, please check all the answers and fill in any relevant gaps. If information does not fit into a box – see “Additional Information” section at the end of the form. If you would like to proceed with the insurance please sign and date the declaration at the bottom of the form. ABOUT YOU: Name of The Insured: Contact Name : Title First Name Surname ADDRESS Building : No & Road : District : Postal Town : County/State : Postcode : Tel. : Country : Fax. : E-mail : REGULATION For regulatory purposes please confirm are you: a business with an annual turnover below £ 1 million YES NO a private individual (a person acting outside your business, trade or profession)? YES NO JURISDICTION This insurance is subject to English Law. If You require different jurisdiction please name country: POLICY LANGUAGE If you are in a country where English is not the first language, do you agree to accept a policy document in English language? YES NO NORTH AMERICAN ASSETS Do you have any assets in or ? YES NO INSURANCE HISTORY How many events did you insure in the last 12 months? Previous Insurers: BUSINESS ACTIVITIES Please indicate in which areas of business your company is engaged. Please detail all areas of business activity to ensure that the correct cover is provided. Professional organisers please note: where it appears on this form “Turnover” means the total value of events (not just commissions/fees) Activity Description LAST 12 MONTHS NEXT 12 MONTHS Number of events Number of attendees Turnover Number of events Number of attendees Estimated Turnover Event Management in respect of Meetings/Seminars & Conferences s
HISCOX%20EVENT%20ASSURED%20LIABILITY%20ANNUAL%20APPLICATION%20FORM.docx