Apply Online

To receive your own personal quotation, simply complete and submit the Quotation Request Form. Please remember to enter your daytime submit number in the relevant box so we can call with your quotation or to obtain further information as required.

Your Details

Fields marked * are required

Company Name*
Contact Name*
Position
APHC Membership Number (if applicable)
Address
Postcode
Telephone*
Fax
E-mail
Website
Current Insurer
Renewal Date
If you have a reference code, please enter it here

Your Business Details Annual Turnover
Have you had more than 2 claims or losses in the last 3 years at a cost exceeding £1,000 in total?
Do you undertake work outside Great Britain, Northern Ireland, the Channel Islands or the Isle of Man?
Do you undertake work in or on aircraft operational areas, nuclear installations, petrochemical works, power stations or offshore?
Have you ever had a proposal for insurance or a renewal of insurance declined, withdrawn or made subject to increased terms?
Do payments to temporary employees exceed 25% of your annual turnover?
Do payments to bona-fide sub-contractors exceed 25% of your annual turnover?

By providing information to APHC Insurance Services you are expressly consenting to the processing of such information in accordance with the Data Protection Act 1998. Your ‘data’ will be put on the APHC Insurance Services database/manual records and held, processed, disclosed and used by us and third party product providers in servicing our/their relationships with you, including identity and money laundering checks.

APHC Insurance Services and third party product providers may use and analyse your personal data, including the nature of your transactions to give you information by post, telephone, fax or email about our/their products and services which may be of interest to you. If you do not wish to be contacted for marketing purposes please write to: APHC Insurance Services, Admiral House, Waterfront East, Brierley Hill, West Midlands DY5 1XG

APHC Insurance Services is a trading name of Heath Lambert Limited which is authorised and regulated by the Financial Services Authority. Registered Office: 133 Houndsditch, London EC3A 7AH. Registered No: 1199129 England and Wales. www.heathlambert.com