Tell us a little about your business and we’ll contact you to discuss your cyber insurance options. If you’re unsure about any of the questions, select “Not sure” and we can talk them through with you.1. Your business detailsTrading name*Lookup Your Post Code: Address Line 1*Address Line 2*Address Line 3*Town*Postcode*2. Your contact detailsYour Name*Contact telephone number*Email address:* 3. What activities does your business do?Please briefly describe your main business activities.*4. Your annual turnoverAn approximate figure is fine at this stage*5. Your business websitePlease enter your website address.We don’t have a website Please select 6. Does your company use multi-factor authentication (MFA)?MFA adds an extra security check when signing in, such as an authenticator app or a code, as well as your password.For business email accounts:Please selectYesNoNot applicableFor remote access to your business systems:Please selectYesNoNot applicable7. Do payments need approval from two separate people before money is sent?This is sometimes called dual authorisation or dual control.Please selectYes, for all paymentsYes, for some paymentsNoNot sureIf only some payments require two people’s approval, please explain: For example, payments above a certain amount.8. Do you independently check new or changed bank details before making a payment?For example, by calling the supplier on a trusted telephone number you already hold, rather than one provided in the payment request.Please selectYesNoNot sure9. Does your farming business use card machines to take payments?Please selectPlease selectYesNoNot sureIf yes, does your business meet the Payment Card Industry Data Security Standard (PCI DSS) requirements that apply to these payments? This is the security standard for protecting payment card data. If you’re unsure, check with your card payment provider.Please selectYesNoNot sure10. How is your farm data stored and backed up?Where is your business data stored? For example, in cloud services, on your own servers or computers, or a mixture of these.How is your business data backed up? For example, to a separate cloud backup service, a backup server or an external drive disconnected after use. If you’re unsure, enter “Not sure” - you can still submit this form.How often is your business data backed up?Please selectDaily or more oftenWeeklyMonthlyLess oftenNo backupsNot sureHas your company experienced any cyber incidents, payment fraud, data breaches or cyber insurance claims in the past five years?Please include incidents even if you did not make an insurance claim.Please selectYesNoNot sureIf yes, please provide brief details:12. Your insurance requirementsDo you currently have cyber insurance?Please selectYesNoNot sureCurrent insurer, if knownRenewal date, if known Day Month Year When would you like your cover to start? Day Month Year Not sure yet Please select Is there anything else you would like us to know? We’ll use the information you provide to respond to your enquiry. Please read our Privacy Notice for details of how we handle your personal information. We may need further information before we can provide a quotation. Submitting this form does not put insurance cover in place.