Event Medical Cover Request / Booking Form

Terms and Conditions of Service

Please fill in the form below to receive a quote. This is provided on a no obligation basis, and the terms and conditions of service (viewable by clicking this link) only become effective upon confirming and accepting the booking. Please note that our standard terms of business for payments/invoices are 14 days; a 20% charge will be added for late invoices/payments and by accepting cover, you are agreeing to these terms.

If you need any help completing this form, please feel free to contact us by email or phone.

    Contact Information

    Event Information

    Risk Assessment : Event Nature

    Event Type *

    Venue Type

    Audience

    Past History of Casualties

    Event Intelligence

    Event Intelligence

    Nearest A&E *

    Profile of A&E *

    Additional Hazards *

    Returning Response Aid Solutions Customer

    Booking Information

    Max. file size: 256 MB.

    Data Protection Agreement *

    Please click below to consent to Response Aid Solutions Limited holding data about this form and/or inquiries made hereafter in line with the current Data Protection / GDPR legislation. We are registered as a data controller / processor with the UK ICO. Response Aid Solutions Limited will never use your data without consent and will never share this data without explicit consent. Please refer to our full Data Protection policy.

    Terms and Conditions *

    Tick this box to confirm that you have read and accept our standard terms and conditions of service (Accessible at the bottom of this page). These will become active at the point of accepting cover in writing or by e-mail with the operations department. Please note that our standard terms of business for payments/invoices are 14 days, a 20% charge will be added for late invoices/payments and by accepting cover, you are agreeing to these terms.