WEDDING INSURANCE APPLICATION – WTJ INSURANCE BROKERS LTD

Landmark House, 556 Leeds Road, Outwood, Wakefield, WF1 2DX

T: 01924 871111  F: 01924 829900

Please read all three documents below carefully, before completing the Insurance Application Form, to ensure you are happy with the cover. Simply click the buttons to view the documents.

Please note, if your wedding date is more than 2 years in advance we will store your completed form and it will be submitted by our brokers once your date is within 24 months.

  • Date Format: DD slash MM slash YYYY
  • Please include full address including postcode.
  • Please include full address including postcode.
  • Date Format: DD slash MM slash YYYY
  • Date Format: DD slash MM slash YYYY
  • Please include full address including postcode.
  • Please include full address including postcode.
  • (To upgrade from the Band 1 cover included, please transfer the relevant payment, before you submit this form, to Bespoke; Account No. 11564153, Sort Code 40-10-07).
  • This is not included- price available on application. This should not be required at any of our venues, as if your wedding venue has their own marquee where you will be holding your reception, then they will be responsible for it and the marquee extension is not required.
  • This is not included- price available on application. Applicable usually in military weddings, where attendants wish to bring a ceremonial sword.
  • When declaring medical conditions/illnesses, please state; Who has the medical condition? What is the medical condition? Are they taking any medication for the condition?
  • This field is for validation purposes and should be left unchanged.

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