Credit Insurance Quote

Provide us with the information and we’ll compare credit insurance quotes from all the insurers.

Company Details

Company Name

Company Registration Number

My name is

My position in the company is

I can be contacted on

My email address is

Nature of Business

To which trade sectors?

Already insured?

Yes No

Principal Customers

Please provide details of up to 10 of your top buyers and required levels of cover.

Buyer Name

Country

Company Number

Required Limit

Add buyer

Additional Information

Consent & Declaration

I hereby give consent to use the information provided in this questionnaire to obtain Credit Insurance quotes and to contact me to discuss all matters relating to Credit Insurance and this enquiry. I also declare that the information given is correct to the best of my knowledge and belief and I am not aware of any circumstances other than those disclosed in this questionnaire which might influence insurers’ acceptance of the risk.

Company Details

Company Name

Company Registration Number

My name is

I can be contacted on

My email address is

Nature of Business

To which trade sectors?

Already insured?

Yes No

Principal Customers

Provide details of up to 10 of your top buyers and required levels of cover.

Additional Information

Consent and Declaration

I hereby give consent to use the information I have provided in this questionnaire to obtain Credit Insurance quotes and declare that the information given is correct to the best of my knowledge and belief and I am not aware of any circumstances other than those disclosed in this questionnaire which might influence insurers’ acceptance of the risk.

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Credit Insurance Quote

Company Details

Turnover Details

Domestic

Bad Debt History

Principal Customers

Additional Information

Consent & Declaration