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Business name*

Full Address*

Are you a medically licenced practitioner?*
YesNo

Do you have an NVQ Level 3 in Beauty Therapy or equivalent?*
YesNo

Have you over 6 months experience in the treatments you are requesting cover for post training?*
YesNo

How long have you been qualified in performing the treatments that you are requesting cover for?*

How did you find SJL?*

Have you ever had a claim made against you?*
NoYes

Have you been convicted of or charged with any offence, other than a motoring offence or conviction under the rehabilitation of Offenders Act 1974?*
NoYes

Have you ever had insurance refused, cancelled or special terms applied to your policy?*
NoYes

What is your estimated annual turnover?*

What date do you need the policy to start from?*

Please list, in full, all treatment that you give*