PLEASE SELECT YOUR ASSOCIATION/INSTITUTE OR PROFESSION BELOW:

1. Please advise the split of your gross fees as per the engineering disciplines below:


Acoustic
%
Civil
%
 
Drafting
%
Electrical
%
 
Heating & Ventilation
%
Interior Design (non-structural)
%
 
Interior Design (structural)
%
Mechanical
%
 
Structural
%
Other
%
 
Please provide more information on the work you perform
Total : 0 %
2. Estimated annual gross fees?
£
 
Please advise your annual wageroll?


Clerical
£
Manual
£
 
3. Number of Employees
Please select012345678910
4. Have you previously held PI cover?
• Yes
• No
5. How many years have you continuously bought PI cover for?
Please Select1234567891011121314151617181920
6. How many years has the business been trading continuously claim and loss free (including incidents or accidents that could give rise to a claim)?
Please SelectNone12345+
7. Do you practice as a
Please SelectSole TraderPartnershipLimited CompanyLimited Liability PartnershipPublic Listed Company (PLC)
8. I am resident in Channel Islands
• Yes
• No
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