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Cosmetician & Hairdresser Insurance :: KlaptonOnline
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Cosmetician Insurance Application Form
Note: * Indicates required field.

Applicant Information

Requested Third Party and Professional Indemnity Insurance Limits and Deductible

Limit Per Claim* :
Deductible Per Claimant* :

Applicant Information

Insured Information

Use the Applicant's name and address

Insured Business Name

Business and/or corporate name to be included in the Name of Insured.

The policy will show the insured's name, which will include the name of the owner (applicant), the corporate name and trading name. This is in order to provide coverage for your business, as well as yourself.

Professional Information

Choose the group where your practice is listed*. If any of your practices appears in more than one group, choose the higher group (A is lower risk, and C is the highest risk)

A B C
  • Advanced Electrolysis
  • Aesthetic RF treatments
  • AHA/BHA Facial Peels
  • Airbrush Tattoo
  • Arometherapy
  • Barber
  • Barber Shop
  • Basic Non-Electrical Facial
  • Beautician
  • Beauty & Hairdresser Consulting
  • Beauty Salon
  • Beauty Therapist
  • Beauty Therapist Student
  • Beaty Therapy
  • Bleaching Superfluous Hair
  • Body Wrapping
  • Cosmetic Waxing
  • Cosmetician
  • cosmetologist
  • Cosmetologist Tattooist
  • Depilatory Creams
  • Derma Roller
  • Eyebrow Colouring & Shaping
  • Eyelash and Eyebrow Tinting
  • Eyelash Extension
  • Eyelash Perms
  • Face/Body Painting & Temporary Tattoos (Alcohol Based, Painted on Tattoo)
  • Facials/Facial Massage
  • False Eyelashes
  • Hair Care Products Sales/Marketing/Distribution Cosmetologist
  • Hair Colour Stylist
  • Hair Extension (Including Removal)
  • Hair Salon
  • Hairdresser
  • Hairstylist
  • iCapsule
  • iRejuv
  • iSlim Pro
  • iClear
  • iContour
  • iCryo
  • iFace
  • iLight
  • iLypo
  • Indian Head Massage
  • Henna Artist
  • Hopi Ear Candles
  • Make Up and Make Up Artists
  • Manicure/Manicurists
  • Mesotherapy
  • Microdermabrasion
  • Mobile Beauty Therapist
  • Mobile Hairdresser
  • Mobile Nail Technician
  • MYH Vibration Plate
  • MYScara
  • Nail Art
  • Nail Design
  • Nail Extension & Gel Nails
  • Nail Salon
  • Particle Free Dermabrasion
  • Pedicure
  • Personal Appearance Worker
  • Photo Rejuvenation
  • Photofacials
  • Raindrop Therapy
  • Reflexology
  • Scar Camouflage
  • Shampoo Technician
  • Short Wave Diathermy
  • Sugaring
  • Swedish Massage
  • Tanning/Sunbeds Tanning Salons
  • TCA (Trichloroacetic Acid Up To 50% Strength)
  • Treading
  • Ultrasonic Cavitation (Non Invasive)
  • Ultrasonic Cavitation
  • Waxing
  • A-Lift (non-surgical facelift)
  • Accent RF System
  • Acne Reduction (ND:YAG laser system)
  • Anti Wrinkle (ND:YAG Laser System)
  • Application of Fake Tanning
  • Birth Mark Reduction (ND:YAG Laser System)
  • CACI Non-Surgical Face & Body Lift (Computer Aided Cosmetology Instrument)
  • Camouflage Make Up
  • Cosmetic Tattoo
  • Cryolipolysis
  • Ear Piercing
  • Electrical Depilation
  • Electrical Face and Body Treatments
  • Electrologist
  • Esthetician
  • Facial Electrical
  • Far Infrared Cabin
  • Hair Removal (ND:YAG Laser System)
  • Hair Removal with Selectif Pro by Applisonix
  • Hyaluronic Acid Dermal Fillers
  • iLase Mini
  • Intense Pulsed Light & High Energy Pulsed Laser Light
  • IPL Acne Photoclearance
  • IPL for Skin Rejuvenation
  • IPL for Thread Vein Removal
  • IPL Hair Removal Skin Types 1-5
  • Massage
  • Mechanical Deep Cleansing
  • Non-Invasive Cellulite and Fat Reduction Including LoveLite Lipoglaze
  • Peel Using the Priori Idebenone Ranges (30% Lactic and Salicylic Acids)
  • Permanent Cosmetic Technician
  • Permanent Make Up
  • Radio Frequency Skin Tightening
  • Semi Permanent Make Up
  • Spray Tanning
  • Strawberry Laser Lipo Inch Loss - Class 3B Cold Red Laser
  • Stretch Mark Reduction (ND:YAG Laser System)
  • Venus Freeze
  • Wrinkle Reduction Using Bio Skin Jetting
  • Alpha-Hydroxyl Acid (Less than 25% Strength)
  • Carbon/Laser Skin Rejuvanation
  • Cellulite and Fat Reduction (Non-Invasive)
  • Glycolic Skin Peels (Up to 50%)
  • Laser Treatment - Epilation
  • Laser Treatment - Microdermabrasion
  • Laser Treatment - Peel
  • Skin/Micro-Needling
  • Spider/Thread/Varicose Vein Reduction (ND:YAG Laser System)

*If your trade does not appear in the list, please refer to our team for a personal quote.

Coverage Extensions

Occurrence Retroactive Date Coverage for the following previous period:

Claim Made Date Coverage for the following future period:

Coverage and include additional professionals/practitioners to this cover:

Coverage and include additional administrative employees to this cover:

Acknowledgement and Declarations

I hereby declare that within the last 5 years:

I had not been revoked, suspended, refused, cancelled or voluntarily surrendered any of the following:

  1. State license, certification or registration
  2. Malpractice insurance
  3. Public liability insurance

No claim or suit for alleged malpractice or public liability has been brought against me and I am not aware of any incident that might reasonably lead to such claim or suit. I have never been convicted (as an adult) of a felony and there isn’t any such case pending. No complaints or charges were brought against me by any licensing board or professional ethics body.

I hereby confirm that I have read and agree with the above statement.

I, the undersigned declare that all answers in this application form are complete and accurate. I understand completely that the answers provided are the basis for the provision of Insurance Cover. Furthermore, I declare that I do not have any supplementary information, in respect of this application, which could influence the outcome of your decision regarding my application request. My signature warrants that my application is submitted in all good faith.

I hereby confirm that I have read and agree with the above statement and it applies both to me and to any additional professional/practitioner and administrative employee included in this application.

Premium Payment Information: I hereby confirm that I understand that after completing and submitting this application form, I must pay the required premium before any cover will become effective.

Submitted Date: 16 Sep 2019