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Insurance Forms

Cyber-risk Management

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Forms

On this page you can fill in the Quick Quote Form or download the Proposal Form.

Quick Quote Form

Please fill in the form for a quick quote.

Your Details

Your gross income in the last completed financial year

(or estimated for the current year if you are a new business):

Number of records processed or stored annually:

Business sector - please select as appropriate:

Cyber Awareness Risk Assessment Questionnaire

  1. Does your organisation provide cyber or information security awareness training to its people?

    YesNo

  2. Do you have a mobile workforce (i.e. people required to work from locations other than specific office premises)?

    YesNo

  3. Do your subcontractors and those within your supply chain conduct cyber or information security awareness training?

    YesNoI don't know

  4. Are you aware of any breaches your organisation may have had in the last 12 months?

    YesNoI don't know

  5. Do you have any reason to believe that cyber security awareness and behaviour errors are being made within your organisation?

    YesNo

Proposal Form

Download the PDF Proposal Form to your device. Please use Adobe Acrobat Reader to complete the form.

This proposal must be completed and signed by a Principal, Partner or Director of the Proposer. The person completing and signing the form should be authorised by the Proposer to do so and should make all necessary enquiries of his fellow Partners, Directors and Employees to enable all the questions to be answered. All questions must be answered to enable a quotation to be given. Completing and signing this proposal does not bind the Proposers or Insurers to enter a contract of insurance

Cyber Security Insurance Proposal Form

Download