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01792 001350 • [email protected] • FS Register FRN 1029698

FS Register FRN 1029698

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13+ years specialist broking experience

Offices & Surgeries Insurance – Quote Request

Please complete as much as possible so we can obtain tailored office or surgery insurance terms.

Your details
The legal entity that will hold the policy, e.g. Bridge Street Dental Ltd. Sole traders and partnerships, enter your own name.
Business details
Premises & construction
Clinical / treatment exposure (if applicable)
Property sums insured
Full rebuilding cost including debris removal and professional fees.
Liability
Usually required by law if you have employees.
Claims & history
Please include dates, type of claim, amount paid / outstanding and circumstances.
Current insurance
Anything else
Any other details which may help us obtain the most competitive terms for you.
Fields marked with * are required.

By submitting this form you consent to Miller & Partner Ltd contacting you regarding this quotation and any related insurance products.

Office: Vivian House, Roman Bridge Close, Mumbles, Swansea, SA3 5BG

Miller & Partner Ltd is an Appointed Representative of Gauntlet Risk Management Ltd, which is authorised and regulated by the Financial Conduct Authority (FRN 308081). Miller & Partner Ltd is entered on the Financial Services Register under firm reference number 1029698. You may check this on the Financial Services Register by visiting the FCA website at https://www.fca.org.uk/firms/financial-services-register or by contacting the FCA on 0800 111 6768. Miller & Partner Ltd is registered in England & Wales, company number 16206282. Registered office: 20 Vivian House, Roman Bridge Close, Swansea, SA3 5BG.