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SUPPLY TEACHER QUOTATION
Complete the following form for your FREE no obligation Supply Teacher Quotation:
School name:
School postcode:
School telephone:
School fax:
School email address:
Contact name:
Position held:
Current premium: £
Number of staff to be insured:
Please state Full Time Equivalent Number
Teachers:
Non-teachers:
Daily Benefits:
Choose a daily benefit up to £200
Teachers: £
Non-teachers: £
Benefit Period:
Choose up to 190 days benefit
Number of days:
Excess Period:
The excess is the number of days deducted from each claim. Choose from 3,5,10,20
Number of days:
3
0
5
10
20
Maternity cover:
yes
no
Claims Details:
Please indicate number of days claimed after deducting excess days. Do not include any absences where the member of staff has since left the school
teachers
non -
teachers
excess
days
2003/2004:
2004/2005:
2005/2006:
Complete the form and request a free supply teacher quotation
Be-SURE Insurance Services
