Policy Application Form

This policy has been designed for nannies. If you are not employed in this occupation then you should not apply for this policy. For the quote to be valid, you must supply accurate and complete information, incorrect information could mean that the policy becomes invalid or does not operate in the event of a claim. Please take the time to check your details and read the documents before you proceed.

Your Details

Full name *

Mr Miss Mrs Ms

Address *

Lookup

Email address *

Contact number *

Date of birth *

When would you like your cover to start? *

Policy cannot start in the past or
more than 30 days in the future

Where did you
hear about Nannyinsure? *

Friend/another nanny Employer/parent/family Nanny agency Social media Internet search Nannytax Ofsted Babyem Other

Declarations

I have not had any previous insurance proposals or policies declined, cancelled, refused or special terms imposed.

True False

I have not been convicted with any criminal offence, or have any convictions pending other than a fixed penalty motoring offence.

True False

I have not made any claims under a liability insurance policy in the last 5 years.

True False

I have not been a director of a company which has gone into liquidation, administration or receivership and/or been bankrupt.

True False

I have not knowingly breached Health & Safety at Work Legislation or been involved in a disciplinary process relating to my employment

True False

Based on the information obtained from you we have identified that your demands and needs are those of a customer who is employed as a nanny and is looking to protect their legal liabilities.

I confirm that I have read and understand the Nannyinsure Terms of Business, Policy Documentation, Insurance Product Information Document and Enable Ltd’s Privacy Policy

Nannytax regularly emails a newsletter to nannies with industry updates and items of interest to nannies. You can opt-out of receiving it at any time. Would you like to receive our newsletter?

Nannyinsure is proud to be an environmentally friendly business, we send our policy documents electronically (you will receive these on email shortly). Would you like us to print and post your policy documents to you?

Yes No

Please note: Cover will not commence until you have received formal confirmation from Nannyinsure

Nannyinsure is the trading name of Enable Limited, registered in England and Wales, No. 04552449, registered office Enable Limited, Telecom House, 125-135 Preston Road, Brighton, East Sussex, BN1 6AF. Enable Limited is an Appointed Representative of Fish Administration Limited and authorised by them to sell liability insurance for nannies and their employers. Fish are authorised and regulated by the Financial Conduct Authority. Firm Reference Number is 310172. Fish Administration Limited is registered in England and Wales. Company Registration Number 4214119. Registered Office: Rossington’s Business Park, West Carr Road, Retford, Nottinghamshire, DN22 7SW.