Start date

When would you like your insurance cover to start?

Your name

Your address

Post code

Phone number

Your email

Company status

Sole traderLimited company

Business name

Business address

If different to your personal address

Date business established

Years experience in this trade

Less than 1 year1 year2 years3 years4 years5 years or more

Annual turnover

Or expected annual turnover if first year of trading

Related trades

Within your industry, do you partake in any related activities such as Stove Installation, Flue Surveys for Insurers etc. If so, please make us aware below.

Other trades

Apart from Chimney Sweeping, do you have any secondary trade such as Landscape Gardening etc? (We can cover multiple trades in one policy so please let us know below)

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