Brennan Insurances Site Map Contact Us

Cleaning Industry - Declaration Form

Policy Number
Insured Name
Period From
Period To
Principals WagesOwn Employees Wages (Including labour only sub contractors)Payments To Bona - Fide SubcontractorsTurnover
1) Clerical Work€€€€
2) Window Cleaning At Ground Level€€€€
3) Window Cleaning By Pole System€€€€
4) Window Cleaning Below 10M€€€€
5) Window Cleaning Above 10M€€€€
6) Abseiling / Rope Access Work€€€€
7) Domestic, Shop & Office Cleaning (Inc Carpet Cleaning)€€€€
8) Supermarkets & Shopping Centres€€€€
9) Factory, Kitchen, Industrial Cleaning€€€€
10) Specialist Machinery Cleaning€€€€
11) Pressure Washing / Jetting€€€€
12) Any Other Work (Please Give Details€€€€
Totals€€€€
Total No Of Employees
Email Address - *
This email address will be used for correspondence regarding this On-Line form and for no other purpose.