Membership Insurance Application

* Required

Personal Details


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


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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


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If yes, please give the name and address of the insurer and the renewal date of the policy.

Photo of unit - Required for hot food traders & ice-cream vans. .
(Please note: If the photo size is to big the form will not send. Please resize or attach in a separate e-mail)

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If other, Please give details.

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If yes, Please give details of equipment used.



(Please advise the maximum number of stalls /units you have per Trading Day)

Public Liability

Employers Liability (not included in cost of Public Liability)

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

Products Liability - automatically applies to food and drink products.

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

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If yes, please provide details.

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If yes, please provide details.

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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.