Classes

IOMST is Irelands largest and most established membership organisation providing Combined Liability Insurance for all our members. As a membership organisation in conjunction with Insurers, AIG and Brokers, Richardson Insurance Solutions we have the best insurance packages available at great premium rates! So whether you are a professional teacher or instructor or simply run after-school classes, dance or music classes, operate a language school or more, we have a solution for you.

IOMST is a membership organisation established to provide help & support and give information to our members while also assist with competitive liability insurance. Check out our website for more information at www.iomst.ie .

Events
Teaching Classes
Workshops

Some of the insurance products we can arrange include:

Public Liability
Products Liability
Employers Liability
Trade Contents (Stock)
Business Interruption
Motor insurance.
and more.

Simply call us on 01-8360945 Email info@iomst.ie Or fill in our application form below.

* Required

Personal Details

Name in Full:
*

Trading Name:

Company Name:
(fill this box in only, if you have a LTD Company)

Address:
*

Phone/Mobile:
*

Date of Birth:
*

Email:
*

Photo ID:

In order to get your membership/insurance card you need to attach a photo of (yourself) the insured member, the image should be similar to the sample image above.(Please note: If the photo size is to big the form will not send. Please resize or attach in a separate e-mail).

Trading Details

1. Please provide full details of your classes / activities. Please include age group of attendees .

2. Do you hold, or have you previously held, Public Liability?
*
If yes, please give the name and address of the insurer and the renewal date of the policy.

3. Which of the following best describes your activities?

Other Please Advise

4. Please advise the number of classes.
(Please advise the maximum number of classes per day)

5. Location of class(s), please provide name(s).

6. Please confirm the cover required.

Public Liability

Employers Liability (not included in cost of Public Liability)

If yes, state maximum amount of employees/helpers (cover is recommended)

Products Liability - Applies to food and drink products only

(available only with Public Liability) N.B. In respect of food units please provide a photograph with your proposal.

Products Liability is available for other products. Please provide full details so this can be considered.

7. Have you ever been convicted/ charged with a criminal offence (excluding motor)?
*
If yes, please provide details.

8. Has any insurer ever declined a proposal, cancelled or refused renewal or required special terms on any of the insurances for which you are now proposing?
*
If yes, please provide details.

9. Have you suffered any claim or loss (whether insured or not) in connection with Employers, Public or Products Liability over the last 3 years?
*
If yes, please provide details.

	Name of Incidents	Paid/Oustanding
Employers Liability
Public or Products Liability

Our limit of indemnity for Employers Liability is € 13,000,000.
Our limit of indemnity for Public or Products Liability is € 13,000,000.
Products Liability €13,000,000 automatically applies to food and drink. Other products can be included where agreed by insurers.

I/we declare that the statements and particulars given in this proposal are, to the best of my/our knowledge and belief, true and complete and that this proposal will form the basis of my/our membership of IOMST.*Please Agree to Proceed

I/we confirm that I/we am/are giving my/our permission for the information we provided in this form to be used for the purposes set out in the Data Protection section above.

Please note that the details you are being asked to supply may be used to provide you with information about other products and services from third parties. The fact that you choose not to receive such information will not affect any aspect of the facilities that are provided to you now or in the future.