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Temporary Cover for Hired In Plant Insurance
Please note, we can only provide annual cover for Hired in Plant Insurance at this time. We cannot cover short-term periods, for example, 1 week / month.

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Date Time Form Started

DayMonthYear
Date
Hour Minutes
Name*

First NameSurname
Email*
Phone Number*
Your business.
Business Name*
e.g. PIB Risk Services Limited
First line of address*
e.g. One Minster Court, Mincing Ln.
Postcode*
e.g. EC3R 7AA
County*
e.g. London
Trade or profession*
e.g. Charity, Construction, Leisure, Motor Trade
Annual turnover*
If your turnover falls exactly on one of the boundaries, please select the higher range.
Insurance renewal date

DayMonthYear
Annual turnover*
Approximate figures are fine
Are you looking for specific insurance cover?
e.g. Professional Indemnity Insurance.
You are using this form to submit your details to us. The data you provide will be retained to provide you with details of our insurance services. If at any time you want your data removed from our systems please let us know. Our privacy notice lets you know how we use your data and how to request removal.*
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