info@sheridaninsurances.com
049 438 0020
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Treatment Risk and Public Liability Insurance
uquote
2019-01-24T15:49:25+00:00
Treatment Risk Insurance
Policy Number
Answer all of the questions below to begin.
Once you have completed the form we will be able to provide you with a quotation.
If your application is successful you can proceed to purchase your insurance online.
When the transaction is completed you will receive your policy documents by email.
It is essential you provide us with
ALL MATERIAL FACTS
, including: any previous insurance claims made by you for the type of insurance sought. Failure to disclose any material fact may invalidate this insurance, may result in the insurance not operating fully, claims may not be paid, and you may encounter difficulty in trying to purchase insurance elsewhere.
User Role
User Name
Personal Details
Name of Insured
*
First
Last
Phone Number
*
Email Address
*
Are you a ROSTI Member?
*
The Register of Orthopaedic and Soft Tissue Therapist of Ireland
Yes
No
Please enter your ROSTI Membership Number:
Are you an ARTI Member?
*
Athletic Rehabilitation Therapies Ireland
Yes
No
Please enter your ARTI Membership Number:
Are you a NRRI Member?
*
National Register Of Reflexologists Ireland
Yes
No
Please enter your NRRI Membership Number:
Are you a CST Member?
*
Cranio Sacral Therapist
Yes
No
Please enter your CST Membership Number:
Are you a BKAI Member?
*
BioKinesiology Association of Ireland
Yes
No
Please enter your BKAI Membership Number:
Are you a member of Osteopathic Council of Ireland
*
Yes
No
If you are a member of the OCI please contact Sheridan Insurances on 049 438 0020 for a quote.
Are you a member of Chiropractic Association of Ireland
*
Yes
No
If you are a member of the CAI please contact Sheridan Insurances on 049 438 0020 for a quote.
Are you a student and is student cover required?
Yes
No
Do you carry out any teaching?
*
Yes
No
Do you issue issue any certificates
*
Yes
No
Your Postal Address
*
Street Address
City/ Town
County
Eircode
Eircode Finder
Insurance Details
Address of Practice
*
Same as postal address
Street Address
City/ Town
County
Eircode
Trading Title or Company Name
*
Please select your therapies:
*
Please Select
Massage, Strapping, Cryotherapy
Massage, Strapping, Cryotherapy, Mobilisation & Stretching, Electro Therapy including Ultrasound Therapy, Faradism or Interferential, Heat Therapy, Rehabilitation, Dry Needling
Massage, Strapping, Cryotherapy, Mobilisation & Stretching, Electro Therapy including Ultrasound Therapy, Faradism or Interferential, Heat Therapy, Rehabilitation, Dry Needling, Manipulation
Your Occupation
*
Please Select
Access The Bars
Acupressure
Acupuncture Practitioner
Allergy Therapy
Amatsu Therapy
Angel Healing
Animal Physiotherapy
Animal Rehabilitation
Anti Natal Care
Aroma Touch Technique
Aromatherapy
Athletics Coaching
Aura Soma
Auricular Candle Therapy
Ayurvedic Massage
Baby Massage
Bach Remedies
Bars Facilitator
Bio Energy Healing
Bio Resonance
Bio Testing
Bowen Technique
Brain Gym
Canine Hydrotherapy
Canine Massage
Chakra Balancing
Chakra Healing
Chinese Herbal Medicine
Chinese Massage
Chinese Medicine
Chiropody
Chiropractor
Clinical Hypnosis
Coeliac Testing
Colonic Hydrotherapy
Colonic Irrigation
Colour Therapy
Counselling
Counselling - Emotional Freedom Technique
Cranio Sacral
Craniosacral Therapy
Crossfit Instructor
Crystal Healing
Cutting The Ties That Bind
Cycle Rebok
Detoxification
Diet and Nutrition
Dietetics
Dry Needling
Ear Acupuncture
Ear Candling
Educational Grinds
Electric Magnetic
Emotional Freedom Techniques
Energetic Massage Therapy
Energy Field Healing
Equine Massage
Ericksonian Hypnosis
Exercise and Fitness
Exercise to music for Older/ Disabled Persons
Facials
Facilitor
Family Constellation
Fertility Reflexology
Finger Tip Blood Testing
Fitness and Sports Therapy
Fitness Instruction Gym Based
Focussing
Food Intolerance Testing
Foot Care Technician
Forging Elite Fitness
Frequency Specific Microcurrent
Golf Coaching and Performance
Gym Instructor
Hatha Yoga
Hawaiian Lomi Lomi Massage
Healing
Health and Personal Development
Heartmatch
Herbalism
Holistic Massage
Hopi Ear Candles
Hot Stone Massage
Hynobirthing
Hynotherapy
Infant Massage Instructor
Injury Management and Fitness in Sport
Integrated Energy Therapy
Iridology
KI Massage
Kinesio Taping
Kinesiology
Life and Business Coaching
Low level laser Therapy
Lymph Drainage
Magnet Therapy
Manual Lymph Drainage
Martial Arts
Massage
Master Hypnosis
Medical Qigong
Meditation
Meditation Metamorphic Technique
Meridian EFT
Mindfulness
Mobilisation
Moxibustion
Naturapathic Nutrition
Neuro Development Therapy
Neuro Linguistic Programming
Neuro Structural Integration Technique
Nutritional Therapy
Oncology Massage
Osteopath
Parenting Support Group
Phlebotomy
Psychotherapy
Pilates
Prana Kinesiology
Pranic Healing
Pregnancy Massage
Pulsed Magnetic Field
Qigong
Quantum Touch
Rahanni Celestial Healing
Rainbow Kids Yoga
Re-Birthing Breachwork
Reflex Zone Therapy
Reflexology
Reflexology For Cancer
Reflexone Therapy
Reiki
Reiki Teaching
Reiki-Seichem
Reiki Master
Remedial Massage
Resistance Training
Rolfing
Seichem
Self Defence Instructor
Shamamnism
Shiatsu
Shockwave Therapy
Social Care
Somatic Trauma Therapy
Sound Healing
Sound Therapy
Speech and Language Therapy
Spin Cycling
Spiritual Healing
Sports Massage
Sports Therapy Equipment
Step Aerobics
Stimulation Therapy
Stone Therapy Massage
Stress Management
Student Case Work
Supervision
Swedish Massage
Tai Chai Non Combat
Tai Chi/ Chi Kung-Non Contact
Taiji
Taping and Strapping
Teaching
Tellington Touch
Tera Mai
Tera Mai Reiki
Thai Foot Massage
Thai Massage
The Bodyguard
The Naked Voice
Therapeutic Counselling
Thermo Aurical Therapy
Touch For Health
Tui NA
Ultrasound
Ultrasound Therapy
Usui Reiki
Vitamin D Testing
Wellness Coaching
Yoga
Yoga For The Special Child
Yoga Laughter
Yoga Teaching/ Therapy
Zumba Instructor
Please enter your occupation:
Do you have a recognised qualification for the Occupation you are seeking cover for?
*
Yes
No
Please enter your qualification title(s):
Please upload you qualification certificates:
*
Drop files here or
Accepted file types: doc, pdf, jpg, png, gif, docx.
Please provide more details:
What is you annual turnover?
*
Is the client fully qualified?
Yes
No
Qualification notes:
Who is your current insurer?
*
Cover Start Date
*
Is the period of cover greater than or less than 12 months?
Yes
Cover End Date
*
Public Liability and Products Liability is covered up to:
€4,000,000
Public Liability and Products Liability is covered up to:
€6,500,000
Public Liaiblity
What level of Public Liability cover do you require?
€ 4.5m
€ 6.5m
Employers Liability
Is Employers Liability cover required?
*
Yes
No
How many full time staff do you employ?
*
How many part time staff do you employ?
*
The Premises and Buildings
Is cover required for Property /Material damage? (e.g. Buildings, Contents, Stock, Fixtures & Fittings etc.)
*
Yes
No
Are the buildings? (Select as required)
*
Built of brick, stone or concrete and roofed with slates, tiles, asphalt, metal or asbestos
In a good state of repair and maintained to keep it in good condition
Select if more than 25% non standard or flat roof
Please give details:
*
Is the premises entirely self-contained with its own means of access?
*
Yes
No
What age is the oldest part of the building:
*
1980 +
1946 - 1979
1920 - 1945
1900 - 1919
Pre 1900
Are the premises protected by intruder alarm?
Yes
No
Alarm Details (Select as required)
Bell only
Central Station Monitored Agreement in Force
Mobile Phone Notification
CCTV
How long are the CCTV records kept, number of months?
Is there a fire alarm?
Yes
No
Is the fire alarm monitored?
Yes
No
Is there a sprinkler system?
Yes
No
Are there smoke detectors?
Yes
No
What type of Heating is in place? (Select as required)
*
Oil
Gas
Electric
Portable Heaters
Open fire place /open stoves
Closed stoves
Does the premises provide accomodation for any staff, management, proprietors or directors?
*
Yes
No
If yes, please give details:
*
Is any food prepared on the premises?
*
Yes
No
Type of Cuisine
*
What % of turnover relates to outside catering?
*
0%
1% - 25%
26% - 50%
51% - 75%
76% - 100%
Is all kitchen equipment cleaned regularly and under an annual maintenance contract?
*
Yes
No
Do you carry out deep frying on the premises?
*
Yes
No
What % of deep frying?
*
0%
1% - 25%
26% - 50%
51% - 75%
76% - 100%
Cover Required & Sums to be Insured
Buildings (including outbuildings) - sum insured:
Representing full cost of reconstruction in their present form and debris removal and professional fees.
Buildings SI Rate
Buildings Net Premium
Fixtures and fittings - sum insured:
Including contents of common parts, furnishings, fitted carpets and domestic appliances.
Fixtures & Fittings SI Rate
Fixtures & Fittings Net Premium
Tenants Improvements - sum insured:
Value for property maintenance (as per your rental agreement).
Tenants Improvements SI Rate
Tenants Improvements Net Premium
Value of stock on the premises - sum insured:
Stock SI Rate
Stock Net Premium
Value of contents - sum insured:
Contents SI Rate
Contents Net Premium
Value of Computer Equipment - sum insured:
Computer Equipment SI Rate
Computer Equipment Net Premium
Value of Household Contents - sum insured:
Household Contents SI Rate
Household Contents Net Premium
Do you hold money in excess of €10,000 on the premises and do you require cover for this money?
*
Yes
No
Amount in excess of €10,000
*
Money in excess SI Rate
Money in excess Net Premium
Do you require cover for Business Interruption /Gross Profit?
*
Yes
No
Enter Business Interruption /Gross Profit Amount:
*
Indemnity period for Business Interruption /Gross Profit:
*
12 months
18 months
24 months
36 months
BI /GP SI Rate
BI /GP Net Premium
Is cover required for Goods /Customer Goods in Trust?
*
Yes
No
Goods /Customer Goods in Trust - sum Insured:
*
Goods /Customer Goods SI Rate
Goods /Customer Goods Net Premium
Is cover required for Goods in Transit in excess of €10,000?
*
Yes
No
Goods in Transit in excess of €10,000 - additional sum insured:
*
Goods in Transit SI Rate
Goods in Transit Net Premium
Is cover required for own plant, tools and machinery?
*
Yes
No
Own plant, tools and machinery - sum insured:
*
Plant, tools and machinery SI Rate
Plant, tools and machinery Net Premium
Is cover required for hired in plant?
*
Yes
No
Hired in plant - sum insured:
*
Hired in plant - SI Rate
Hired in plant Net Premium
Is cover required for Mobile Units?
*
Yes
No
Mobile Units - sum insured:
*
Mobile Units SI Rate
Mobile Units Net Premium
Is cover required for Fire Brigade Charges in excess of €10,000?
*
Yes
No
Fire Brigade Charges in excess of €10,000 - additional sum insured:
*
Fire Brigade SI Rate
Fire Brigade Net Premium
Is cover required for Glass in excess of €5,000?
*
Yes
No
Glass in excess of €5,000 - additional sum insured:
*
Glass SI Rate
Glass Net Premium
Is cover required for rent you pay?
*
Yes
No
What is your annual rental payment for the premises?
*
Rent Payable SI Rate
Rent Payable Net Premium
Is cover required for rent you receive?
*
Yes
No
Value of annual rent you receive.
*
Rental Income SI Rate
Rental Income Net Premium
Financial & Claims History
Are you aware of any claims, losses or incidents in the last five years whether insured or not?
*
Yes
No
Please provide details of claims or losses:
*
Ever been convicted of, cautioned or have a prosecution pending for any criminal offence other than motoring offences?
*
Yes
No
Been prosecuted under the health and safety at work act?
*
Yes
No
Been declared bankrupt, or been a director of a company that went into liquidation?
*
Yes
No
Ever had insurance cover refused, cancelled or special terms imposed?
*
Yes
No
Please give details
*
Additional Information
Please use this area if you need more space to provide information to the questions or need to provide any material fact that may influence acceptance or assessment of this proposal of Insurance
Refer
Claim Show Premium
Admin Show Premium
No No
No
Frost Underwriting
Customise Premium
Yes
Date of Issue
Change PL LOI
€4,000,000
€4,500,000
€6,500,000
Change Treatment Risk LOI
€4,000,000
€6,000,000
PL Increase or Decrease
PL Net Premium
EL Increase or Decrease
EL Net Premium
MD Increase or Decrease
MD Net Premium
Remove Frost UW Fee
Yes
Increase Sheridan Fee
Comments
Quotation
LR
MR
HR
P1
ROSTI
P1-2
Student
Subtract Risk
P2
ROSTI
P3
ROSTI
ARTI1
ARTI
ARTI2
ARTI
NRRI1
NRRI
BKAI
BKAI
CST
CST
Oteopath
Non OCI
Chiropractor
Non CAI
SF
SF1
ROSTI
SF-11
Student Cover
SF2
ROSTI
SF3
ROSTI
SF4
ARTI
SF5
NRRI
SF6
CST
SF7
BKAI
SF50-2021
50 Sheridan Fee
FUW1
ARTI
FUW2
ARTI
FUW3
NRRI
FUW4
ROSTI STUDENT
FUW5
Osteopath
FUW6
Chiropractor
FUW7
CST
FUW8
BKAI
EL
MD Calc
MD Min
MD
MD Net Prem
DAS
Net
Set Apply 5% increase to Net Premium
Net Premium
Price:
€ 0.00
Government Levy
Price:
€ 0.00
Stamp Duty
Price:
€ 0.00
Frost Underwriting Fee
Price:
€ 0.00
Sheridan Fee
Price:
€ 0.00
Total
€ 0.00
Quote Status
Quote Status
Approved
Referred
UW Approved
UW Declined
UW Referred
Live & Paid
Live
Duplicate
Cancelled
Reason for Decline
Duplicate submission
Unable to provide cover due to Additional Information provided
Unable to provide cover due to Financial & Claims History
Underwriter Comments
Policy Type
Renewal
Subtotal
Options
Total
Add to cart
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