On-line Quotation Form

Contact name:
(required)

Business name:
(if applicable)

Premises Address:

County:

Contact email:

Contact telephone:

Contact mobile:

Number of buildings requiring assessment:

Use of premises (office, industrial, hotel ect):

Number of storeys:

Approximate size of building m² (WxD):

Approximate age of building:

Multi-occupied building:

If multi-occupancy which
part requires assessment?:

Approximate number of staff
in building at any one time:

Approximate number of 'other
occupants in the building at any one time':

State nature of other 'occupants':

Fire risk assessment:

Fire safety audit:

Training:

Other services :

Additional comments or other relevant
information
(ie subject to any enforcement action):

Where did you
hear about excell: