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Brennan Insurances Security / Fire Protection Quick Quote Form

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Name
Address
 
 
Current Insurer
Renewal Date
PSA Licence Number Insurer

Business Plan
Please breakdown your Turnover and Wages into the following Categories

ActivityWagesTurnover
Office / Warehouses / Factories
Store Detectives
Mobile Patrols
Key Holding
Door Supervisors
Any other work
Total

General Information

Do you have a current up to date Health and Safety Statement
YESNO
Please Provide Details of all Training Given to Staff
Please give details of all claims paid and outstanding in the past five years
Email Address
Privacy Statement Fees and Charges Terms and Conditions Capital Cover Group Ltd t/a Brennan Insurances is regulated by the Central Bank of Ireland