All Risk Insurance

Provides indemnity against loss or damage to specified items as a result of any cause within the geographical area specified in the policy. This includes theft, fire, riot and strike breakage and any other cause not excluded under the policy.

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1
Personal Details
2
Insurance Details
3
Insurance Selection

Personal Details

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First Name

Last Name

Phone

Address

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Insurance Details

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Have you ever had a proposal for Householders, Fire, Theft or “All Risks” declined or the renewal of a policy refused or terminated or an increased premium required in respect thereof ?

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Yes

Have you or any member of your family permanently residing with you ever sustained a loss which was or could have been covered by an All Risks Policy ?

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Yes

If “YES” give particulars

Have you or any member of your family who is to be included in this Proposal ever previously proposed for Householders, Fire, Theft or All Risks Insurance?

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Yes

If “YES” give particulars, the name of the Company or Underwriter

Is property belonging to members of your family permanently residing with you to be insured?

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Yes

If “YES” give names and relationships

Are you at present insured under a Householders, Fire, Theft, or All Risks policy in respect of the Contents of your residence?

If “YES” please state:

Name of Company

Type of Policy

Amount Insured