Specialist Public Liability Insurance Brokers
We Specialise in Insurance for Nannies, Childminders, Child Carers & Babysitters
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Insurance for Employers & Nannies - Insurance for Childminders - Insurance for Child Carers & Babysitters

About us and our Nannies/Childminders insurance policiesAbout us and our Nannies/Childminders insurance policies
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General Questions


The total cost of this Public/Products Liability and Personal Legal Expenses insurance is £56.65,
including 9.5% Insurance Premium Tax and Policy Fee.
The questions below, including those on experience and qualifications, will not affect your
premium but please answer them accurately because they will form the basis of the insurance
contract between yourself and your insurers. Certain responses may mean that we cannot issue a
policy to you on-line. You will be told about this immediately if so.
Please be sure to read the "Assumptions" below and check that they apply to you and that you
agree with them. You can contact us on 01803 698456 if you have any queries.

You work as a domestic child minder, child carer or nanny, or in a similar role, in England,
Scotland or Wales. You do not participate in manual work, other than normal childcare
activities. If you feel that these assumptions are incorrect, please contact your broker,
Devon Direct, before proceeding with a quote.
Have you:

Suffered any loss, damage, sickness or injury or incurred any liability in the last five years that has
or could have given rise to a claim under any of the insurances now proposed whether or not
insurance was in force?
Yes               No  
Have you:

Had any proposal or renewal declined, increased premiums applied or had cover cancelled by
insurers (in respect of the risks to be insured?
Had any prosecution under the Health and Safety at Work Act or similar legislation, or are there
any such prosecutions outstanding?
Yes               No 
Have you:

Been declared bankrupt?

Been the subject of(or have pending) any County Court judgements or Sheriff Court decrees?
Been convicted or charged (or to be tried) or been given an official police caution in respect of
any criminal offences (other than a motoring offence)?
Yes               No 
Qualifications and Experience

Have you been working as a child minder for less than one year or have less than one year's
Yes               No 
Are you registered with a government organisation related to the care of children?
Yes               No 
Your Details ( As they should appear on your documents )
Your name:
Line 1
Line 2
Town / City
Post Code
Cover Start Date:
Cover cannot be backdated but it can be started up to 30 days in advance.
Have you previously held insurance in respect of these child care activities?
Yes               No 

I declare that the information provided in connection with this Statement of Facts is true and I have not
withheld any material facts. I understand that non-disclosure or misrepresentation of a material fact will
entitle your insurers to void the Insurance. (N.B. a material fact is one likely to influence acceptance or
assessment of this proposal by your insurers). If you are in any doubt as to whether a fact is material
please disclose it or consult your broker, Devon Direct, on 01803 698456. I understand that this
Statement of Facts shall form the basis of the insurance contract. If any information contained in this
Statement of Facts is incorrect or incomplete please advise your broker, Devon Direct, immediately as
it may affect the way a claim is dealt with.

Please tick the box to confirm that you agree with the statement above.
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Public Liability Insurance
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