Community Enquiry Form - Access Insurance

1 Your Group 2 Insurance Cover
3 Contact Details
4 Choose Time

Your Organisation

Group Name*

Legal entity type

Charity registration number

Company registration number

When was your group formed?

DD slash MM slash YYYY

Income & People

Group Annual Income

How is your income raised?

How many volunteers do you have?

How many part time staff?

How many full time staff?

Your Activities

What best describes what your organisation does?

Other type of group

Group Aims

Group Activities

If you run fundraising events, what is the maximum attendance?

Do you undertake any visits or work abroad?

No: no work abroad
Clerical: trips to attend meetings or conferences
Non-clerical/Non-manual: trips with activities such as visiting projects or communities to review/monitor work
Manual: trips which include manual work, such as building a school

Risk Management

Please select which of the following risk management policies/measures you have in place. Select N/A if not applicable or leave blank if you are unsure.

Health & safety policy

Child protection policy

Vulnerable adults policy

Manual handling policy

Lone working policy

DBS/PVG/Access NI checks

Accident book

1 Your Group 2 Insurance Cover
3 Contact Details
4 Choose Time

Insurance start date

Enter the date you would like your policy to start

DD slash MM slash YYYY

Location

Where do your activities take place?

Address

Postcode

9VZ2-JSWC-S4HE-3RNU

DaviDoyle882157

Select an address:

Name/Number and Street Address Line 2 Town/City County

Employers (Volunteers) Liability

Yes
No
Unsure

Trustee Indemnity

Yes
No
Unsure

Sum Insured

Professional indemnity

Yes
No
Unsure

Sum Insured

Legal Expenses

Yes
No
Unsure

Sum Insured

Portable Equipment

Yes
No
Unsure

Sum Insured

Other covers required

Specific needs

How can we help you?

1 Your Group 2 Insurance Cover
3 Contact Details
4 Choose Time

Contact Details

First name*

Surname*

Contact Number*

Alternative Contact Number

Email*

Receive occasional emails with insights and resources on risk management

Have you heard about us through any of the following? (tick all that apply, if any)*

Access Insights (Articles, Risk Insight Emails, Resources, Video)
Charity Excellence
LinkedIn
Mailing
Movement for Good
Scout Radio
Twitter
Other
N/A

If "other please enter details*

1 Your Group 2 Insurance Cover
3 Contact Details
4 Choose Time

Choose Time

One of our advisors will call you if we need more information to provide a quote.

Choose the best time for you (you can select multiple times)

No Preference
9AM - 11AM
11AM - 1PM
1PM - 3PM
3PM - 5PM

Our privacy policy covers how we process your data.

Community Insurance Quote

You face unique risks, so we build specific policies – you’ll only pay for the cover you need.

Step 1 of 4

Your Organisation

Income & People

Your Activities

Risk Management

Insurance start date

Location

Where do your activities take place?

Specific needs

Contact Details

Choose Time