Insurance Upload Portal

• Please use this portal to upload the most recent versions of your Insurance Documents.
• These documents will be updated on our in-house database.
• Please complete all questions as fully as possible, and attaching copies of your Insurance documents.
• When complete please complete the Declaration section and click the submit button.
• All information supplied is considered private & confidential. The data will be held in accordance with UK GDPR regulations.

GDPR compliance information in our Privacy Policy @ www.vaughandale.com/privacy-policy

Please enable JavaScript in your browser to complete this form.

Company Name: *

Insurance Information

Employers Liability Level of Cover:

Employers Liability Expiry Date

Public Liability Level of Cover:

Public Liability Expiry Date

Professional Indemnity Level of Cover:

Professional Indemnity Expiry Date

Insurance Documents File Upload *

Click or drag files to this area to upload. You can upload up to 3 files.

If you have multiple insurance cover suppliers, upload all of the certificates.

Declaration *

• I confirm that all the documents uploaded are to the best of my knowledge accurate and correct.

Layout

Print Name: *

Position in company: *

Date: *

Employers Liability File Upload *

Click or drag a file to this area to upload.

Signature *

Clear Signature

Public Liability File Upload *

Click or drag a file to this area to upload.

Professional Indemnity File Upload *

Click or drag a file to this area to upload.

Submit