SB19 SUPPLIER HIRED IN EQUIPMENT INSURANCE FORM

SB19 SUPPLIER HIRED IN EQUIPMENT INSURANCE FORM
Supplier's Business Entity, e.g Ltd Company*
Supplier Point of Contact*
First NameLast Name
Phone Number*
Area CodePhone Number
Email*
example@example.com
Supplier Equipment Information
Type of Goods/Equipment, e.g PA and Lighting*
Description of Equipment*
Total Replacement Value of Kit*
Required Insurance Start Date (from when the hire has been agreed to start)*
MonthDayYear
Date
Required Insurance End Date (from when the hire has been agreed to end)*
MonthDayYear
Date
Are you supplying a single piece of equipment worth £250,000 or more?*
YesNo
Should be Empty:

Supplier Equipment Information