10436910 - Statement of Fact

No

  1. ever been declared bankrupt, been the subject of a county court judgement(s) (CCJ or Scottish equivalent), winding up order, insolvent liquidation or administration (voluntary or mandatory) or have made any composition or arrangement with creditors or been a director or partner of a company which has gone into insolvent liquidation, receivership or administration, or ever been disqualified as a director?


No

Ever been disqualified from being a company director?


Have you or any Director or Partner been prosecuted or received notice of intended prosecution under:

No

  1. <

    Consumer Protection Act

  2. Food & Safety Act

  3. Health & Safety Act

  4. any welfare or environmental protection legislation

Client Details

Client Name:

Correspondence Address:

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What is your limited Company name?

Trading name if any?

When is Cover to commence?

Statement of Fact Policy Number: 10436910

PLEASE SELECT THE LIABILITY PRODUCT REQUIRED:


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