Landowners Liability Risk Submission

Complete the form below and an underwriter will review and respond within one working day. Fields marked * are required.

YOUR DETAILS

Your name *

Brokerage *

Email *

Phone

INSURED DETAILS

Insured name *

Inception date required *

Correspondence address *

Insured type *

Individual / private owner Company / Ltd Trust / estate Partnership

LAND DETAILS

Location of land / estate *

If multiple locations, list the primary site and describe others below.

Total acreage *

Number of separate sites

Land type *

Farmland / agricultural Woodland / forestry Moorland / rough grazing Sporting / game estate Equestrian Amenity / parkland Mixed use

Is any of the land let to tenants or graziers?

No Yes — details below

Tenancy / grazing details (if applicable)

EMPLOYEES & CONTRACTORS

Number of full-time employees

Number of part-time / seasonal employees

Employers liability required?

No Yes

Are contractors used on the land?

No Yes — details below

Contractor details (if applicable)

COVER REQUIRED

Public liability limit required *

Employers liability limit required

Current / previous insurer

Current / previous premium

Reason for coming to market

CLAIMS HISTORY

Any liability claims or incidents in the last 5 years? *

No claims or incidents Yes — details below

Claims / incident details

Include any known circumstances which may give rise to a claim, even if no formal claim has been made.

ADDITIONAL INFORMATION

Anything else we should know?

Attachments

To attach a land plan, existing policy or other document — please email these directly to [email protected] quoting the insured name and your submission reference.

We aim to respond within one working day.
Matrix Underwriting · FCA ref 537923

✓ Thank you — your submission has been received. An underwriter will be in touch within one working day.

Land Owners Liability — Risk Submission