Liability Contract

Liability Cover – Contract

Thank you for requesting our Liability cover. To proceed, we need you to complete the form below with the necessary information. This is a mandatory requirement from our Insurance Company, which has strict guidelines.

Please pay careful attention when completing the form. For the signature box, you may simply type your full name – this is considered a valid digital signature.

Our Terms and Conditions have already been sent to you, but you can Click Here to read them again.

Thank you for your cooperation.

Your unique quotation reference number

I can confirm that I have received your Terms and Conditions of contract. I have read and accept the same. I declare that I have full authority to enter into this contract. I require Standard Liability and declare that the full value of the property to be removed/stored is

Liability Value (If you do not declare a value, Limited Liability will automatically apply) I agree that if I do not declare a value to you, my entitlement will be limited in accordance with Clauses 9.2 and 11 of your Terms and Conditions.

I have sent my deposit by BACS or have called your office to pay the deposit over the phone and my requested removal date is

Moving Date

Have you read our Terms and Conditions and agree to the same?
Yes I have read your Terms and Conditions and I agree to the same

Your full name

Your email address Todays Date Signature (you can type your full name as an electronic signature)

Liability Contract

INFORMATION

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