Directors & Officers' Liability Insurance
Name: 


A red asterisk (*) indicates required questions.

  1. Have you, as a current director or officer of the Company ever been refused this type of insurance or had a similar insurance cancelled? *
    Yes - if yes please could you provide details by email.
    No


  1. Are you aware of any circumstances that might reasonably be expected to give rise to any claim against any of the Directors or Officers of the Company or its subsidiaries?
    For the purpose of this question "claim" shall mean "any legal or administrative or regulatory proceedings."

    *
    Yes - if yes please could you provide details by email of costs and dates of claim.
    No


  1. Are you aware of any claims against any of the Directors of Officers of the Company or its subsidiaries?
    For the purpose of this question "claim" shall mean "any legal or administrative or regulatory proceedings."
    *
    Yes - please email details
    No


  1. Are you aware of any claims against any of the Directors (including past Directors) or Officers of the Company or any of its subsidiaries in the last 5 years?
    For the purpose of this question "claim" shall mean "any legal or administrative or regulatory proceedings."
    *
    Yes - please email details
    No