Quick quote

We're here to help

To request a quote, just fill out your details and a CareAssured advisor will get back to you with a quote within 1 working day. If you're unsure of anything, contact us and we'll be happy to help.

Quote form

Fields marked with an asterisk (*) are mandatory. Please enter "N/A" if a mandatory item is non-applicable.

1. Details

1.1: Your/Company Details
Contact Name*

Position

Company Name*

Address*

Postcode*

1.2: Contact Details
Day Telephone No.*

Eve Telephone No.

Mob Telephone No.

Email Address


2. Property

2.1: About the Home
Type of Home*
eg, Old Age, Dementia etc

Age Range of Patients From*
To*

Bed Spaces*

Number of Staff*

Wage Roll (£)*

Fee Income (£)*

3. Other information

3.1: Sums insured & claims history
Buildings Sums Insured (£)*
Please state the total sums insured required for the buildings including outbuildings, landlords fixtures and fittings and Tenants improvements and decorations

Contents Sums Insured (£)*
Please state the total sums insured required for the contents, stock and materials in trade

Claims History*
During the last 5 years have you sustained any loss or damage or incurred any liability; whether insured or not, in connection with any of the insurances for which cover is required?
If no claims have occurred please state None

Contacting You
When would you like to be contacted?

By using this form to submit information you are agreeing to your information to be processed in accordance with our privacy statement