StoreGuard Enquiry Form
Click below to download: -
FSA Authorised Self Storage companies
- PDF <62kb>
Self Storage companies operating under ‘Insured Contractor’ conditions -
PDF <62kb>
Client Service Agreement
- PDF <101kb>
Please enter your details below:
NOTE:
All fields marked with a
*
must be filled in for a successful form submission.
General Information
*
Where did you here about our StoreGuard scheme?
*
Full trading title of company (indicate if Ltd):
*
Full Address:
*
Postcode:
*
Full Description of business:
*
Estimated turnover for the forthcoming 12 months:
£
*
Domestic Transit/Storage:
% of turnover
*
Vehicle Transit /Storage:
% of turnover
*
Archive Transit/Storage:
% of turnover
*
Commercial Storage:
(used goods eg surplus office furniture)
% of turnover
*
Commercial Storage:
(new goods intended for sale)
% of turnover
*
Telephone Number:
*
Fax Number:
Email Address:
*
Renewal Date:
*
Are you in a new venture?
Yes
No
If
Yes
, what experience do you have in the removals industry?
If
No
, how long have you been trading?
*
Current Insurers:
*
Current Premium:
*
What conditions do you trade under?
FSA Authorised
Insured Contractor
SSA Licence Agreement
Other
If you trade under the SSA Licence Agreement please advise which version you are using:
*
Are you a member of the Self Storage Association?
Yes
No
Fire & Specified Perils Cover
Goods in Storage
*
Current all risks excess:
£
*
Number of storage locations:
*
Do any of the storage premises have composite Polystyrene or Polyurethane paneling within the wall?:
Yes
No
Storage Location Details
Location 1
*
Address of premises:
*
Postcode:
*
Method of Construction:
*
Year premises built:
*
How long have you operated from these premises?:
*
Method of heating the premises:
*
What security measures are in place? (i.e. RedCare Alarm):
*
Do your premises have CCTV internally?
Yes
No
*
Do your premises have CCTV externally?
Yes
No
What Fire Protections are in place? (ie Fire Alarm, Smoke Detectors, Fire Extinguisher etc):
*
Is there any storage in the open?
Yes
No
If
Yes
, please give details regarding type of storage and security measures in place:
*
Are you the sole occupant of the premises?
Yes
No
If
No
, please give details of other occupants
*
Has the premises ever suffered from a claim or incident involving flood or subsidence?
Yes
No
If
Yes
, please give details:
*
Customer Goods Sum insured:
£
*
Customer Goods Sum uninsured:
£
Location 2
Address of premises:
Postcode:
Method of Construction:
Year premises built:
How long have you operated from these premises?:
Method of heating the premises:
What security measures are in place? (i.e. RedCare Alarm etc.):
Do your premises have CCTV internally?
Yes
No
Do your premises have CCTV externally?
Yes
No
What Fire Protections are in place? (i.e. Fire Alarm, Smoke Detectors, Fire Extinguishers etc.)
Is there any storage in the open?
Yes
No
If
Yes
, please give details regarding type of storage and security measures in place:
Are you the sole occupant of the premises?
Yes
No
If
No
, please give details of other occupants
Has the premises ever suffered from a claim or incident involving flood or subsidence?
Yes
No
If
Yes
, please give details:
Customer Goods Sum insured:
£
Customer Goods Sum uninsured:
£
Location 3
Address of premises:
Postcode:
Method of Construction:
Year premises built:
How long have you operated from these premises?:
Method of heating the premises:
What security measures are in place? (i.e. RedCare etc.):
Do your premises have CCTV internally?
Yes
No
Do your premises have CCTV externally?
Yes
No
What Fire Protections are in place? (i.e. Fire Alarm, Smoke Detectors, Fire Extinguishers etc.)
Is there any storage in the open?
Yes
No
If
Yes
, please give details regarding type of storage and security measures in place:
Are you the sole occupant of the premises?
Yes
No
If
No
, please give details of other occupants:
Has the premises ever suffered from a claim or incident involving flood or subsidence?
Yes
No
If
Yes
, please give details:
Customer Goods Sum insured:
£
Customer Goods Sum uninsured:
£
*
Any claims occurring or pending in the last 3 years?
Yes
No
N/A
(New Venture)
If
Yes
, please give details:
Year
No. of claims
Paid
Outstanding
Total
Current Year
£
£
£
Minus 1
£
£
£
Minus 2
£
£
£
Minus 3
£
£
£
Totals
£
£
£
Please note that this form is for enquiry purposes only. Further information may be required prior to a quotation being provided. A full PoundGates Cargo policy wording is available on request.
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