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. Please make sure all information supplied is true and correct. You must tell us of any changes to the answers you have given as soon as possible. Failure to advise us of a change in your answers may mean that your policy is invalid and that it does not operate in the event of a claim. All fields are required.

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 90 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

No insurer has ever declined my proposal, refused my renewal or terminated my cover for any reason or imposed special terms

True False

I have never been convicted, but not yet tried, with a criminal offence other than a motoring offence or have any conviction which is spent

True False

I have not made a claim under a liability policy in the last 5 years

True False

I have not been the director of a company which has gone into liquidation, administration or receivership, and/or have never been bankrupt

True False

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

True False

For policies with an effective date before 01/01/2021: 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

For policies with effective date on or after 01/01/2021: 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). However, if you’d still like to receive a copy of your documents in the post, please indicate this by clicking the tick box

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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 Victoria House, 125 Queens Road, Brighton, East Sussex, BN1 3WB. Enable Limited is an Appointed Representative of Fish Administration Limited, who 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.