HOME CONTENTS INSURANCE Designed Exclusively for Residents of:

Size: px
Start display at page:

Download "HOME CONTENTS INSURANCE Designed Exclusively for Residents of:"

Transcription

1 HOME CONTENTS INSURANCE Designed Exclusively for Residents of: Aon UK Limited, Tenant Insurance Services, are offering YOU the chance to apply for low cost Home CONTENTS Insurance THIS COVER CONSISTS OF TWO PARTS - PART A STANDARD COVER (PAGE 1&3) AND PART B ADD ON COVER* - THIS IS AN OPTIONAL EXTENSION (PAGE 2&4). * Add On Cover - Insurance for loss and/or damage to jewellery, furs, personal effects, spectacles, hearing aids, dentures, surgical and/or medical appliances, wheelchairs and scooters, which are valued at over 500 per single item or 3,000 in total. Optional extensions include pedal cycles, personal money and credit cards. YOU CAN ONLY TAKE OUT ADD ON COVER IF YOU HAVE THE STANDARD COVER POLICY Your Insurance Requirements This product meets the insurance requirements of those who wish to ensure they are covered against specific events causing loss or damage to the CONTENTS of their residence and personal effects in or outside of the home and any Add On cover that YOU have selected on the application form. Please refer to the Policy Summary and Policy Wording for full details of the cover provided and exclusions. YOU have not received any advice or recommendation from Aon UK Limited, for this Home CONTENTS insurance contract. Read the Important Information on Page 2 and query anything YOU do not understand. PART A - Standard Policy Only What To Do Now 1. Using the table below work out how much it would cost YOU to replace all your belongings Please remember it is your responsibility to make sure YOU have selected the sum insured which adequately covers all of your belongings. If not, any claims YOU make may not be paid in full. Cost of Insurance Costs include Insurance Premium Tax at the current rate. Use the table to work out how much your premium is going to be. The renewal date for this policy is 1st April, so the premium YOU pay now will depend on the month YOU join. Sum Insured April May June July Aug Sept Oct Nov Dec Jan Feb Mar 6, , , , , , , , NB There will be an additional cost if YOU take out the Add On Cover. Rates are effective 1st October Complete the application form on Page 3 and send it along with your payment to: Aon UK Limited, 3rd Floor, Mercury Place, 11 St. George Street, Leicester, LE1 1DR Tel: Please keep Pages 1 and 2 for your records and take a copy of Page 3 if required. 3. Payment can be made by cheque or postal order, payable to Aon UK Limited, or by credit or debit card. If YOU would like to pay by credit/debit card please complete the card details on Page 3 Standard Cover Application Form. 4. When WE have processed your application, evidence of insurance cover will be issued to YOU. Page 1

2 PART B - Add On Cover Only What To Do Now 1. Please complete the application form on Page 4 and take a copy for your records. 2. It is important that YOU should ensure the values given on the application form are adequate, as under-insurance may reduce the amount of recovery in the event of a claim. NOTE TO QUESTIONS 5 & 6 ON THE ADD ON APPLICATION FORM: In respect of Questions 5a - h and 6a all items over 500 in value must be listed separately showing the values of each item. The list must be submitted with the application form, together with evidence of value. 3. Please send completed form to Aon UK Limited, 3rd Floor, Mercury Place, 11 St. George Street, Leicester, LE1 1DR. 4. FOR THE ADD ON COVER: Once WE receive your completed form WE will send YOU a quote for the addtional premium. 5. Please note YOU are not on cover for the Add On cover until the quote is accepted. IMPORTANT NOTICE 1. This policy is available to residents of Hanover Group or any organisation where Hanover Housing Association has control. If YOU are no longer associated with Hanover Group or Hanover Housing Association, YOU must advise US as soon as possible, and your policy will be terminated. 2. WE recommend that YOU keep a record (including copies of letters) of all information provided to US for your future reference. A copy of the completed application form will be supplied on request within a period of three months after its completion. 3. In the event of a claim, please contact Broadspire, hanoverclaims@broadspiretpa.com or Telephone Policy EXCESS: No policy EXCESS will apply. 5. If your property is left UNOCCUPIED for more than 30 consecutive days, please contact US on as some cover will be restricted and some will not apply unless an endorsement is applied for. 6. For your protection telephone calls may be recorded or monitored. This Insurance Policy is underwritten by Lloyd s Syndicate Managed by Canopius Managing Agents Ltd at Lloyd s, One Lime Street, London EC3M 7HA, United Kingdom. WE have only approached this INSURER for this Product. ** Your Duty to make a fair presentation of the Risk In deciding to accept this insurance and in setting the terms and premium, WE have relied on the information YOU have given US. YOU must take care to provide complete and accurate answers to the questions WE ask YOU. If YOU become aware that information that YOU have supplied at any time (including when making a claim) is incorrect or incomplete YOU should tell US quickly. YOU must also tell US quickly about any changes which substantially increase the risk, or relate to your compliance with a warranty or condition in the insurance policy. Failure to do so may render the contract of insurance voidable from inception at the option of the INSURER and enable them to repudiate liability. Please contact Aon UK Limited, 3rd Floor, Mercury Place, 11 St. George Street, Leicester, LE1 1DR Tel: if YOU have any questions. The INSURER(S) shall be entitled to amend the terms and conditions of the policy and to charge an additional premium from the date of the alteration. Data Protection Act - Information Uses From time to time other organisations which must be registered under the Data Protection Act will be permitted to write to YOU about their products or services. If YOU would prefer NOT to hear from such organisations please tick this box. Insurance Administration Information YOU supply may be used for the purposes of insurance administration by the INSURER, its associated companies and their respective agents, by reinsurers and your intermediary. It may be disclosed to regulatory bodies for the purposes of monitoring and or enforcing the INSURERS compliance with any regulatory rules codes. Your information may also be used for offering renewal, research and statistical purposes and crime prevention. It may be transferred to any country, including countries outside the European Economic Area for any of these purposes and for systems administration. In assessing any claims made, the INSURERS or their agents may undertake Page 2

3 checks against publicly available information, (such as electoral roll, county court judgements, bankruptcy orders or repossessions). Information may also be shared with other insurers either directly or via those acting for the INSURER, (such as loss adjusters or investigators). With limited exceptions and on payment of an appropriate fee YOU have a right to access and if necessary rectify information held about YOU. Sensitive Data In order to assess the terms of the insurance contract or administer claims which arise, the INSURER will need to collect data which the Data Protection Act defines as sensitive, (such as medical history or criminal convictions). By proceeding with this application, YOU will signify your consent to such information being processed by the INSURER or their agents. Fraud Prevention and Detection In order to prevent and detect fraud WE may at any time: Share information about YOU with other organisations and public bodies including the Police; Check and/or file your details with fraud prevention agencies and databases, and if YOU give US false or inaccurate information and WE suspect fraud, WE will record this. WE and other organisations may also search these agencies and databases to: Help make decisions about the provision and administration of insurance, credit and related services for YOU and members of your household; Trace debtors or beneficiaries, recover debt, prevent fraud and to manage your accounts or insurance policies; Check your identity to prevent money laundering, unless YOU furnish US with other satisfactory proof of identity; Undertake credit searches and additional fraud searches. WE can supply on request further details of the databases WE access or contribute to. Claims History Under the conditions of your policy YOU must tell US about any insurance related incidents (such as fire, water damage, theft or an accident) whether or not they give rise to a claim. When YOU tell US about an incident WE will pass information relating to it to a database. WE may search these databases when YOU apply for insurance, in the event of any incident or claim, or at time of renewal to validate your claims history or that of any other person or property likely to be involved in the policy or claim. YOU should show these notices to anyone who has an interest in property insured under this policy. Our Promise of Service Our goal is to give excellent service to all our customers but WE recognise that things do go wrong occasionally. WE take all complaints WE receive seriously and aim to resolve all of our customers problems promptly. To ensure WE provide the kind of service YOU expect WE welcome your feedback. WE will record and analyse your comments to make sure WE continually improve the service WE offer. If YOU have any questions or concerns about your policy or the handling of a claim YOU should, in the first instance contact: Aon UK Limited, Tenant Insurance Services, 3rd Floor, Mercury Place, 11 St. George Street, Leicester, LE1 1DR Tel: Central.Complaints@aon.co.uk. What will happen if YOU complain? Lloyd s operates a two stage complaints process. In the first instance, WE will review your complaint and hope to resolve the matter. WE will investigate the circumstances regarding your complaint and write to YOU within two weeks with our response. If YOU are not satisfied with our response, or have not heard from US within two weeks, YOU are entitled to refer the matter to Lloyd s. Lloyd s will then conduct a full investigation of your complaint and provide YOU with a written final response. If, following our review, YOU wish to ask Lloyd s to investigate your complaint YOU may do so by contacting: Complaints Lloyd s Fidentia House, Walter Burke Way Chatham Maritime, Chatham Kent ME4 4RN Tel , Complaints@lloyds.com The Client Number, appearing on your SCHEDULE OF INSURANCE, should be quoted. Page 3

4 Complaints that cannot be resolved by the Complaints Department may be referred to the Financial Ombudsman Service. The Client Number, appearing on your SCHEDULE OF INSURANCE, should be quoted. The address is: The Financial Ombudsman Service Exchange Tower London E14 9SR Telephone: (for landline users), (for mobile users) Following the complaints procedure does not affect your right to take legal action. Law applicable to the contract The Law of England and Wales will apply to this contract unless: 1) YOU and the INSURER agree otherwise; or 2) At the date of the contract YOU are a resident of (or, in the case of a business, the registered office or principal place of business is situated in Scotland, Northern Ireland, Channel Islands or the Isle of Man, in which case (in the absence of agreement to the contrary) the law of that country will apply. Standard Cover Application Form Please tick the appropriate box: Tenant Leaseholder Please complete questions 1-7 below using block letters and tick correct boxes where necessary 1. Full Name (or names of all applicants if more than one policyholder) Mr, Mrs, Miss Ms First Names Surname Name Mr, Mrs, Miss Ms First Names Surname Name 1a. Date of Birth Date of Birth 2. Address (please also provide the full correspondence address if different) Postcode 3. Telephone Number 4. Sum Insured required 5. Date when YOU want insurance cover to begin (see table on Page 1) (subject to confirmation by US) 6. Is your property Yes No a. Is your property UNOCCUPIED when YOU commence this insurance? b. Will your property become UNOCCUPIED during the period of insurance for more than 30 days? c. Your permanent private residence and not used for any business or professional purposes? d. Has any property within 250 metres flooded within last 25 years? e. Is your property within 250 metres of any rivers, streams or tidal waters? f. Has your property been flooded in the last 25 years? g. Is it a House Bungalow or a Flat If your property is a flat h. Is it self contained? If NO, please give details i. If your property is a flat, on which floor is it situated? 7. Have YOU (or anyone permanently living with YOU): Yes No a. Been refused insurance or had special terms or conditions imposed by an INSURER? b. Had any household insurance cancelled? c. Made a claim to any insurer in the last 5 years, in respect of any household CONTENTS insurance? d. Suffered loss/damage while not insured which WOULD have resulted in a claim if a household CONTENTS policy had been in force at the time? Page 4

5 e. Been convicted of any criminal offence or have any prosecution pending other than for motor offences? IF YOU HAVE TICKED ANY OF THE SHADED BOXES, PLEASE GIVE DETAILS ON A SEPARATE SHEET AND SEND WITH COMPLETED STANDARD COVER APPLICATION FORM. Declaration I/WE declare that: The information I/WE have given is true and complete to the best of my/our knowledge and belief, whether in my/our own hand or not, and I/WE have not withheld any information where it is **Your Duty to make a fair presentation of the Risk**. I/WE understand that non-disclosure or misrepresentation of any information where it is **Your Duty to make a fair presentation of the Risk** could result in the policy being invalidated and/or any claims not being paid or not being paid in full. The sum insured under this application is the full value of the household CONTENTS to be insured (less wear and tear where appropriate). I/WE acknowledge that, if I/WE cancel, I/WE must give written notice. I/WE have read the information relating to the Data Protection Act, Complaints Procedure and Applicable Law on page 2. I/WE understand that the information on this form and information about any incident I/WE may give details of, will be passed to IDS Ltd so that they can make it available to other insurers. I/WE understand that in response to any searches that may be made in connection with this application, or any incident I/WE have given details of, IDS Ltd may pass to my/our INSURER information it has received from other insurers about other incidents involving anyone insured under this policy. SIGNED (by the Proposers) 1)...Date... 2)...Date... PLEASE ENSURE THAT YOU SIGN AND DATE THE APPLICATION FORM TO EFFECT COVER. Please send completed form to: Aon UK Limited, 3rd Floor, Mercury Place, 11 St. George Street, Leicester, LE1 1DR. PAYMENT DETAILS: If YOU would like to pay by credit or debit card, please complete the card details below: If YOU would like US to call YOU when the policy is processed for payment please tick the Box Card type... Card no.... Card holder... Security number (last 3 digits on reverse of card)... Start date... Issue number (if applicable)... Expiry date... If YOU are paying by cheque please make payable to Aon UK Limited. Page 5

6 Add On Cover Application Form For Office Use Only ADD ON COVER IS ONLY AVAILABLE IF YOU HAVE A STANDARD COVER POLICY. ADD ON COVER IS FOR LOSS AND/OR DAMAGE TO JEWELLERY, FURS, PERSONAL EFFECTS, SPECTACLES, HEARING AIDS, DENTURES, SURGICAL AND/OR MEDICAL APPLIANCES, WHEELCHAIRS AND SCOOTERS, WHICH ARE VALUED AT OVER 500 PER SINGLE ITEM OR 3,000 IN TOTAL. OPTIONAL EXTENSIONS INCLUDE PEDAL CYCLES, PERSONAL MONEY AND CREDIT CARDS. WE WILL PROVIDE YOU WITH A QUOTE UPON RECEIPT OF THE COMPLETED ADD ON APPLICATION FORM. 1. PROPOSER S FULL NAME (Mr/Mrs/Miss/Ms (or names of all applicants if more than one policyholder) 2. ADDRESS OF PREMISES TO WHICH THE INSURANCE APPLIES If not already provided on Standard Cover Application Form. Telephone No 3. COVER TO COMMENCE FROM: (SUBJECT TO ACCEPTANCE OF QUOTE) 4. PROTECTION OF THE PREMISES It is important to give as full a description as possible Please tick YES a) Locks on all external doors b) Window locks or catches c) Burglar alarms d) Safes e) Other protections NO If YOU have ticked any of the shaded boxes please give details in the box below 5. State VALUES to be insured (any item over 500 must be listed separately and the list submitted with evidence of value) a) JEWELLERY b) FURS c) BAGGAGE AND PERSONAL EFFECTS d) SPECTACLES e) HEARING AIDS f) DENTURE/SURGICAL AND/OR g) WHEELCHAIRS MEDICAL APPLIANCES h) SCOOTERS NB. A minimum Premium of including Insurance Premium tax at the current rate applies. 6. EXTENSIONS TO THE CATEGORIES OF PROPERTY (tick if required) YES NO VALUE a) PEDAL CYCLE a. b) i PERSONAL MONEY (Limit 300) within the geographical limits in Policy. bi. 300 ii CREDIT CARDS (Limit 300) within the geographical limits in Policy. ii PREVIOUS HISTORY a) Name of previous insurers b) Date of expiry of policy c) Has any INSURER declined to accept, cancelled, refused to continue or agreed to continue only on special terms, any insurance for the proposer or any other person whom this insurance would apply? YES NO If YES to 7c, give details Page 6

7 8. Has the proposer, or any other person whose property is to be insured hereunder, sustained any loss or damage during the last five years which would have been covered by this type of insurance, had it been in force. YES NO If YES, state approximate date of each loss or damage, circumstances and amount thereof, and with whom the property was insured. SIGNED (by the Proposers) 1)...Date... 2)...Date... PLEASE ENSURE THAT YOU SIGN AND DATE THE APPLICATION FORM. Please send completed form to Aon UK Limited, 3rd Floor, Mercury Place, 11 St. George Street, Leicester, LE1 1DR. Page 7

8 Page 8 Hanover application form, Managed Programmes, PGP October 2016 v17

Home Insurance Important Information. Please read this and keep it for reference.

Home Insurance Important Information. Please read this and keep it for reference. Home Insurance Important Information Please read this and keep it for reference. Important information about first direct Explaining first direct s service Your home insurance policy is provided by Aviva

More information

Home Insurance Important Information. Please read this and keep it for reference.

Home Insurance Important Information. Please read this and keep it for reference. Home Insurance Important Information Please read this and keep it for reference. Important information about first direct Explaining first direct s service Your home insurance policy is provided by Aviva

More information

Aviva Motor Policy Summary and Important Information

Aviva Motor Policy Summary and Important Information Aviva Motor Policy Summary and Important Information This is a summary of the policy and does not contain the full terms and conditions of the cover which can be found in the policy documentation. It is

More information

Important Information

Important Information Important Information Contract of Insurance The contract of insurance between you and us consists of the following elements, please read them and keep them safe: your policy booklet(s); information contained

More information

Application Form for Professional Indemnity and Liability Insurances Management Consultants

Application Form for Professional Indemnity and Liability Insurances Management Consultants Application Form for Professional Indemnity and Liability Insurances Management Consultants This application form must be completed signed and dated by your Principal, Director or Partner Please ensure

More information

Statement of Fact for Your Self Employed Tradesman Policy. Policy Number 97SEP This is an important document and You must read it in full

Statement of Fact for Your Self Employed Tradesman Policy. Policy Number 97SEP This is an important document and You must read it in full Statement of Fact for Your Self Employed Tradesman Policy Policy Number 97SEP3169421 Produced on 14/06/2018 This is an important document and You must read it in full Policy Details Policy number The Policyholder

More information

Proposer Details. Application Form for Professional Indemnity and Liability Insurances Surveyors

Proposer Details. Application Form for Professional Indemnity and Liability Insurances Surveyors Application Form for Professional Indemnity and Liability Insurances Surveyors This application form must be completed signed and dated by your Principal, Director or Partner Please ensure that all questions

More information

Your Aviva Business Insurance Important Information

Your Aviva Business Insurance Important Information Your Aviva Business Insurance Important Information Material Circumstances IMPORTANT This policy is a legal contract Please remember that you must make a fair presentation of the risk to us. This means

More information

Application Form for Professional Indemnity and Liability Insurances Medical & Scientific Consultants

Application Form for Professional Indemnity and Liability Insurances Medical & Scientific Consultants Application Form for Professional Indemnity and Liability Insurances Medical & Scientific Consultants This application form must be completed signed and dated by your Principal, Director or Partner Please

More information

Home, Possessions and Student Insurance Important Information

Home, Possessions and Student Insurance Important Information Home, Possessions and Student Insurance Important Information 3 Important Information about HSBC Explaining HSBC s service As an insurance intermediary HSBC UK Bank plc deals exclusively with Aviva for

More information

Home insurance application form

Home insurance application form CLEAR Choice Home insurance application form Policy/Quote Reference Number: Date Cover to commence: A copy of the completed application form is available on request but you should keep a record of all

More information

Proposer Details. Application Form for Professional Indemnity and Liability Insurances Architects

Proposer Details. Application Form for Professional Indemnity and Liability Insurances Architects Application Form for Professional Indemnity and Liability Insurances Architects This application form must be completed signed and dated by your Principal, Director or Partner Please ensure that all questions

More information

Aviva Motor Policy Summary and Important Information

Aviva Motor Policy Summary and Important Information Aviva Motor Policy Summary and Important Information This is a summary of the policy and does not contain the full terms and conditions of the cover which can be found in the policy documentation. It is

More information

Proposer Details. Application Form for Professional Indemnity and Liability Insurances Consulting Engineers

Proposer Details. Application Form for Professional Indemnity and Liability Insurances Consulting Engineers Application Form for Professional Indemnity and Liability Insurances Consulting Engineers This application form must be completed signed and dated by your Principal, Director or Partner Please ensure that

More information

Home, Possessions and Student Insurance Important Information

Home, Possessions and Student Insurance Important Information Home, Possessions and Student Insurance Important Information 3 Important Information about HSBC Explaining HSBC s service As an insurance intermediary HSBC Bank plc deals exclusively with Aviva for the

More information

special types plant cover proposal

special types plant cover proposal special types plant cover proposal special types proposal Your Personal Details Name Trading Name Full Address Postcode Occupation Company Type Drivers 1 Driving Restrictions Required Please provide all

More information

Information and changes we need to know about

Information and changes we need to know about Important Information Please read the information below carefully and retain for your future reference. M&S Home Insurance is underwritten by Aviva Insurance Limited. M&S Bank arranges your Home insurance

More information

first direct Single Trip and Annual Multi-trip Travel Insurance Important Information

first direct Single Trip and Annual Multi-trip Travel Insurance Important Information first direct Single Trip and Annual Multi-trip Travel Insurance Important Information Travel Insurance Important Information Please read this information carefully and keep it for your future reference.

More information

Exclusive Personal Liability Insurance For Persons Caring For People With Autistic Spectrum Disorder (ASD)

Exclusive Personal Liability Insurance For Persons Caring For People With Autistic Spectrum Disorder (ASD) Are You a Parent or Guardian of a Person with ASD? Or Do You Care For a Person with ASD? If so, would you be protected by insurance in the event of a member of the public holding you responsible for bodily

More information

XS Direct Insurance Brokers Limited s Terms of Business

XS Direct Insurance Brokers Limited s Terms of Business XS Direct Insurance Brokers Limited s Terms of Business 1. Name and Address. Regulatory Status Our legal name is XS Direct Insurance Brokers Limited and our registered office is 1 Merrion Place, Dublin

More information

Lloyd s Insurance. Effected through. This is to Certify that in accordance with the authorisation granted under the Contract (the

Lloyd s Insurance. Effected through. This is to Certify that in accordance with the authorisation granted under the Contract (the Lloyd s Insurance Effected through This is to Certify that in accordance with the authorisation granted under the Contract (the number of which is specified in the Schedule) to the undersigned by certain

More information

The A&A Group Ltd Commercial Vehicle Insurance Personal Accident Plan Policy Summary Insurer Period of Cover Policy Features & Benefits

The A&A Group Ltd Commercial Vehicle Insurance Personal Accident Plan Policy Summary Insurer Period of Cover Policy Features & Benefits The A&A Group Ltd Commercial Vehicle Insurance Personal Accident Plan Policy Summary This Policy Summary gives brief details of the Benefits and cover that are available as part of Your Commercial Vehicle

More information

Gadget & Mobile Phone Insurance

Gadget & Mobile Phone Insurance Gadget & Mobile Phone Insurance This policy summary does not contain the full terms of the policy, which can be found in the policy document. The Insurers This insurance is underwritten by Lloyd s Syndicate

More information

Consulting Engineers. OfficePro Office and Professional Indemnity Insurance application for: Proposer Details. Part A

Consulting Engineers. OfficePro Office and Professional Indemnity Insurance application for: Proposer Details. Part A OfficePro Office and Professional Indemnity Insurance application for: Consulting Engineers The OfficePro product has been designed to meet the needs of Consulting Engineers operating from an office at

More information

Professional Indemnity Insurance for Accountants

Professional Indemnity Insurance for Accountants POLICY SUMMARY Please read carefully and retain Professional Indemnity Insurance for Accountants Intasure Professional Indemnity Insurance for Accountants Policy Summary WHAT IS A POLICY SUMMARY? This

More information

Underpinned Property Proposal Form

Underpinned Property Proposal Form Underpinned Property Proposal Form Underpinned Property Scheme Insurance for properties which have suffered subsidence and have subsequently been underpinned can prove difficult to arrange within the general

More information

Excess Public and Products Liability. Policy document

Excess Public and Products Liability. Policy document Excess Public and Products Liability Policy document Contents A warm welcome to Zurich 3 Your Excess Public and Products Liability policy 3 Section 1 definitions 5 Section 2 the cover 5 Section 3 conditions

More information

Motor Trade Road Risks Proposal Form

Motor Trade Road Risks Proposal Form Motor Trade Road Risks Proposal Form coveainsurance.co.uk Motor Trade Road Risks Proposal Form Important notes 1. You are reminded of the need to disclose any material facts, i.e. those that the Insurer

More information

d. Please give your name and address, and the policy number shown on your Certificate. 8. Definitions

d. Please give your name and address, and the policy number shown on your Certificate. 8. Definitions Airtime Contract Protection (ACP) terms and conditions As part of the Lifeline Complete Package, The Carphone Warehouse Limited ( Carphone Warehouse ) gives you the benefit of Airtime Contract Protection

More information

G.M. Imber & Sons Limited. Terms of Business

G.M. Imber & Sons Limited. Terms of Business Accepting our Terms of Business G.M. Imber & Sons Limited 77a High Street, East Grinstead, West Sussex RH19 3DD Tel: 01342 327250 Fax: 01342 323826 www.gmisl.co.uk Terms of Business By asking us to quote

More information

taxi fleet Fleets of three or more vehicles proposal

taxi fleet Fleets of three or more vehicles proposal taxi fleet Fleets of three or more vehicles proposal taxi fleet proposal Your Personal Details Name in full (Mr/Mrs/Miss/Ms) Trading Name Telephone Number Are you VAT Registered YES NO Full Address Drivers

More information

Your Life Insurance. Life. Term Life Decreasing Cover Product. Policy booklet January 2017

Your Life Insurance. Life. Term Life Decreasing Cover Product. Policy booklet January 2017 Your Life Insurance Term Life Decreasing Cover Product Term Life Decreasing Cover Insurance designed to help loved ones when they need it most Policy booklet January 2017 Life Important Documents It is

More information

Design and Construct. OfficePro Office and Professional Indemnity Insurance application for: Proposer Details. Part A

Design and Construct. OfficePro Office and Professional Indemnity Insurance application for: Proposer Details. Part A OfficePro Office and Professional Indemnity Insurance application for: Design and Construct The OfficePro product has been designed to meet the needs of Design and Construct Professionals operating from

More information

Policy Summary. Car Insurance. Inside you ll find a summary of: Tesco Bank Car Insurance

Policy Summary. Car Insurance. Inside you ll find a summary of: Tesco Bank Car Insurance Policy Summary Inside you ll find a summary of: Tesco Bank Car Insurance Car Insurance Tesco Bank Car Insurance Policy Summary This is a summary of cover available under Tesco Bank Car Insurance. It does

More information

Policy wording. Contractors Combined

Policy wording. Contractors Combined Policy wording Contractors Combined June 2016 General introduction section Contents of this section Welcome to AXA 3 Your policy 4 Meanings of defined terms 5 Policy conditions 6 Making a complaint 10

More information

Your car insurance Terms of business

Your car insurance Terms of business Your car insurance Terms of business About us Brightside is a trading style of Brightside Insurance Services Ltd which is authorised and regulated by the Financial Conduct Authority (Firm reference number

More information

SAFEHOME OPTIONS PROPOSAL

SAFEHOME OPTIONS PROPOSAL SAFEHOME OPTIONS PROPOSAL THIS DOCUMENT FORMS THE BASIS OF YOUR CONTRACT This document is a record of the information advised to RSA Insurance Ireland DAC (RSA) for the purposes of concluding a contract

More information

Personal Motor Excess Protection Policy

Personal Motor Excess Protection Policy This insurance policy has been arranged on your behalf by Motorplus Limited t/a Coplus and is underwritten by UK General Insurance Limited on behalf of Great Lakes Insurance SE. This cover is provided

More information

MOTOR FLEET PROPOSAL FORM

MOTOR FLEET PROPOSAL FORM MOTOR FLEET PROPOSAL FORM QBE Mill Court Mill Street Stafford ST16 2AX Tel: (0)845 602 0983 Fax: (0)845 602 0984 QBE European Operations is a trading name of QBE Insurance (Europe) Limited, no. 01761561

More information

PUPILS PERSONAL EFFECTS INSURANCE SCHEME

PUPILS PERSONAL EFFECTS INSURANCE SCHEME EDUCATION PRACTICE PUPILS PERSONAL EFFECTS INSURANCE SCHEME SCHEME DETAILS AND KEYFACTS EFFECTIVE FROM WINTER TERM 2016 A tailor made insurance scheme which provides personal effects insurance to cover

More information

Select & Protect Lettings

Select & Protect Lettings Start of Policy Summary This is a summary of the policy and does not contain the full terms and conditions of the cover, which can be found in the policy documentation. It is important that you read the

More information

CAR HIRE EXCESS INSURANCE Car Hire Key Facts

CAR HIRE EXCESS INSURANCE Car Hire Key Facts CAR HIRE EXCESS INSURANCE Car Hire Key Facts Introduction This document provides information about our Vehicle Hire Excess Insurance. Please read carefully it will assist you in making a decision if this

More information

MOTOR TRADE ROAD RISKS ANNUAL DECLARATION COVER ENGINEERED FOR THE MOTOR TRADE

MOTOR TRADE ROAD RISKS ANNUAL DECLARATION COVER ENGINEERED FOR THE MOTOR TRADE MOTOR TRADE ROAD RISKS ANNUAL DECLARATION COVER ENGINEERED FOR THE MOTOR TRADE Motor Trade Road Risks Important Note You are under a duty to make a fair presentation of the risk to us before the inception,

More information

Tenant Possessions Insurance

Tenant Possessions Insurance Policy Summary Tenant Possessions Insurance For cover sections 1-3 and 5-17, this insurance is underwritten by Lloyd s syndicate 4444. The syndicate is managed by Canopius Managing Agents Limited. Canopius

More information

Pay As You Go Home Contents Insurance

Pay As You Go Home Contents Insurance Pay As You Go Home Contents Insurance Application Peace of mind at an affordable cost # # # Personal Details PLEASE USE CAPITAL LETTERS WHEN FILLING IN THIS FORM Your Full Name (Mrs/Ms/Miss/Mr/other) (Joint

More information

Policy Summary. Inside you ll find a summary of your car insurance. tescobank.com

Policy Summary. Inside you ll find a summary of your car insurance. tescobank.com Summary Inside you ll find a summary of your car insurance tescobank.com Tesco Bank Car Insurance Summary This is a summary of cover available under Tesco Bank Car Insurance. It does not include all the

More information

Excess Recovery Insurance Policy. Motor Insurance Policy

Excess Recovery Insurance Policy. Motor Insurance Policy Excess Recovery Insurance Policy (Motor Insurance Policy) This is your Excess Recovery Insurance Policy. It contains details of cover, conditions and exclusions relating to each Insured Person and is the

More information

POLICY SUMMARY TYRE PROTECTION PROVIDED BY ABOUT YOUR TYRE PROTECTION ELIGIBILITY WHO PROVIDES THIS INSURANCE COVER PROVIDED

POLICY SUMMARY TYRE PROTECTION PROVIDED BY ABOUT YOUR TYRE PROTECTION ELIGIBILITY WHO PROVIDES THIS INSURANCE COVER PROVIDED TYRE PROTECTION PROVIDED BY POLICY SUMMARY ABOUT YOUR TYRE PROTECTION CUSTOMER COPY PLEASE RETAIN THIS DOCUMENT FOR YOUR RECORDS This document does not contain the full terms and conditions of the Tyre

More information

Property Owners Submission Form

Property Owners Submission Form Property Owners Submission Form Broker Details Broker: Telephone No: Contact Name: Email Address: Client Details Insured Name: Premises Address for (Material Damage) : Property Owners Liability Address

More information

Proposal Form. Yes No If yes, please state maximum Spectator Attendance, below 8. Is there any entertainment provided at the premises?

Proposal Form. Yes No If yes, please state maximum Spectator Attendance, below 8. Is there any entertainment provided at the premises? v. 2016v14 Proposal Form Full name of Club Correspondence Address Telephone Number Fax Number Post Code (essential) If CLUBMARK accredited - Number: PAYE Address of Main Premises to be Insured E-Mail Address

More information

Your car insurance Terms of business

Your car insurance Terms of business Your car insurance Terms of business About us Brightside is a trading style of Brightside Insurance Services Ltd which is authorised and regulated by the Financial Conduct Authority (Firm reference number

More information

ALLOY WHEEL INSURANCE Insurance Product Information Document

ALLOY WHEEL INSURANCE Insurance Product Information Document Insurance Product Information Document Company: ACASTA European Insurance Company Limited Product: Alloy Wheel Insurance This Insurance Product Information Document is only intended to provide a summary

More information

HomeCover Application

HomeCover Application Form Allianz Insurance plc www.allianz.co.uk HomeCover Application Home Agent Details Agent Policy No. KF / Account No. / / Premium Instalment Agreement No. DA / Important Information for Applicants: This

More information

Property Insurance for Commercial Property Owners

Property Insurance for Commercial Property Owners POLICY SUMMARY Please read carefully and retain Property Insurance for Commercial Property Owners Intasure Property Insurance for Commercial Property Owners Policy Summary GENERAL This insurance is designed

More information

Excess Employers Liability. Policy document

Excess Employers Liability. Policy document Excess Employers Liability Policy document Contents A warm welcome to Zurich 3 Your Excess Employers Liability policy 3 Section 1 definitions 5 Section 2 the cover 5 Section 3 exclusions 5 Section 4 conditions

More information

TRADE CREDIT INSURANCE

TRADE CREDIT INSURANCE QBE EUROPEAN OPERATIONS TRADE CREDIT INSURANCE Proposal Form Please read the following information carefully This document sets out the important information that you, or your insurance advisor on your

More information

SCHEDULE - SPECIMEN POLICY ONLY

SCHEDULE - SPECIMEN POLICY ONLY Legal Indemnities from Aviva Policy Number SCHEDULE - SPECIMEN POLICY ONLY The Insurer Aviva Insurance Limited Premium * 37.10 *Where applicable the premium payable includes Insurance Premium Tax at the

More information

home contents insurance

home contents insurance Peace of mind at an affordable cost home contents insurance clothing electrical furniture fire vandalism carpets theft water A special service for tenants of Bolton at Home Home Insurance Insurance Product

More information

IMPORTANT Your Crusader Assistance 14 Day Replacement Vehicle Policy

IMPORTANT Your Crusader Assistance 14 Day Replacement Vehicle Policy PROOF OF CRUSADER ASSISTANCE 14 DAY REPLACEMENT VEHICLE COVER. IMPORTANT Your Crusader Assistance 14 Day Replacement Vehicle Policy This is to confirm that AmTrust Europe Limited will provide the cover

More information

Loss of Licence. Policy document

Loss of Licence. Policy document Loss of Licence Policy document Contents A warm welcome to Zurich 3 Definitions 5 The Cover 5 Exceptions 5 Conditions 5 Our complaints procedure 7 2 A warm welcome to Zurich Thank you for taking out your

More information

phone: Customer Services web: W Terms and Conditions

phone: Customer Services web: W   Terms and Conditions phone: Customer Services 0333 456 0546 email: @ pybadmin@advent.global web: W www.protectyourbubble.com Terms and Conditions Definitions Certain words and phrases have special meanings and have the same

More information

Buy to Let Application form

Buy to Let Application form Buy to Let Application form 1. Credit Intermediary (broker) Company: Contact Name: Email: 2. Loan Net Amount: Gross Amount (including fees): Term: Purpose: 3. Applicant 1 Title: First Names: Surname: Maiden

More information

POLICY WORDING EMPLOYERS LIABILITY

POLICY WORDING EMPLOYERS LIABILITY POLICY WORDING EMPLOYERS LIABILITY UK SPECIALTY PI Contents 1. About Your Policy 01 Duty Of Fair Presentation 01 Complaints 01 Compensation Scheme 02 How To Make A Claim 02 The Law That Governs This Policy

More information

A quick guide to Home Emergency insurance

A quick guide to Home Emergency insurance Home Insurance A quick guide to Home Emergency insurance This booklet contains: Information about our insurance services Policy summary Other important information about our insurance services Lloyds TSB

More information

ENHANCED LIFETIME MORTGAGE APPLICATION FORM

ENHANCED LIFETIME MORTGAGE APPLICATION FORM IMPORTANT NOTES This application should be used to apply for a Partnership Enhanced Lifetime Mortgage. Please take care to answer all questions fully and to the best of your knowledge using BLOCK CAPITALS

More information

motor trade road risks cover proposal

motor trade road risks cover proposal motor trade road risks cover proposal motor trade proposal Important This proposal has been completed in conjunction with the risk presentation provided by your insurance intermediary. The information

More information

Application and income payment form B.

Application and income payment form B. Annuities Application and income payment form A Below Standard Lifetime Allowance Please use black ink and write in CAPITAL LETTERS or tick 4 as appropriate. Any corrections must be initialled. Please

More information

Residential Mortgage Application Form - First Charge

Residential Mortgage Application Form - First Charge Residential Mortgage Application Form - First Charge Please check that the information stated is correct. Make sure you read and complete ALL sections before signing and dating the declaration. 1. Credit

More information

Property Damage Submission Form

Property Damage Submission Form Property Damage Submission Form Broker Details Broker: Telephone No: Contact Name: Email Address: Client Details Insured(s) full trading name (include names of all subsidiary companies to be insured):

More information

The data controllers responsible for the personal information in this notice are:

The data controllers responsible for the personal information in this notice are: Privacy Notices The data controllers responsible for the personal information in this notice are: Aviva Insurance Limited (Aviva), as the insurer of the Home and Travel Insurance products, collects and

More information

TRADE CREDIT TENANT DEFAULT INSURANCE

TRADE CREDIT TENANT DEFAULT INSURANCE QBE EUROPEAN OPERATIONS TRADE CREDIT TENANT DEFAULT INSURANCE Proposal Form Please read the following information carefully This document sets out the important information that you, or your insurance

More information

Appliance - As detailed on the Schedule, cover only extends to the item detailed on Your Schedule if the Appliance is under 8 years old.

Appliance - As detailed on the Schedule, cover only extends to the item detailed on Your Schedule if the Appliance is under 8 years old. We hope that Your Appliance will be trouble free. However, if it should experience a Mechanical or Electrical Breakdown during the Policy Duration, please follow the claims procedure detailed in Your policy.

More information

Policy Summary. Inside you ll find a summary of: Tesco Bank Car Insurance. Car Insurance

Policy Summary. Inside you ll find a summary of: Tesco Bank Car Insurance. Car Insurance Policy Summary Inside you ll find a summary of: Tesco Bank Car Insurance Car Insurance Tesco Bank Car Insurance Policy Summary This is a summary of cover available under Tesco Bank Car Insurance. It does

More information

Page 1 of 6 TERMS OF BUSINESS OF OBF INSURANCE GROUP LTD. Contact Information

Page 1 of 6 TERMS OF BUSINESS OF OBF INSURANCE GROUP LTD. Contact Information TERMS OF BUSINESS OF OBF INSURANCE GROUP LTD. Contact Information Address : Bridge House, Baggot Street Bridge, Dublin 4, D04 X2P1. Phone : 01 6601033/6760201 ; Fax : 01 6687985 ; Email : info@obf.ie ;

More information

Personal Portfolio Proposal Form

Personal Portfolio Proposal Form Personal Portfolio Proposal Form PERSONAL PORTFOLIO POLICY PROPOSAL FORM Please complete using block capitals throughout and tick the appropriate boxes clearly. It is important that every question is completed

More information

Taxi, Minibus and Coach

Taxi, Minibus and Coach SUMMARY OF COVER Taxi, Minibus and Coach Liability Taxi, Minibus & Coach Liability Insurance Max 10/10 Policy Summary of Cover We are keen to work in partnership with You and avoid any misunderstandings.

More information

Need to make a claim? Motor Legal Protection Cover

Need to make a claim? Motor Legal Protection Cover Need to make a claim? 03300 240 242 Motor Legal Protection Cover. About your cover This is your Motor Legal Protection policy. This cover will run alongside your car insurance policy, provided by Provident

More information

Terms of Business. Protection. It s in our nature. Why have terms of business? Who is FBD Insurance plc?

Terms of Business. Protection. It s in our nature. Why have terms of business? Who is FBD Insurance plc? Terms of Business Why have terms of business? This document protects you. It is required by the Central Bank of Ireland. It s important that you read it in full. If there s anything you don t understand

More information

Standard Income Insurance Policy Summary

Standard Income Insurance Policy Summary Standard Income Insurance Policy Summary ABOUT THIS DOCUMENT: Please note that this Policy Summary does not contain the full terms and conditions of the contract of insurance; so please take time to read

More information

Personal Motor Excess Protection Policy

Personal Motor Excess Protection Policy This insurance policy has been arranged on your behalf by Motorplus Limited and is underwritten by UK General Insurance Limited on behalf of Great Lakes Reinsurance (UK) SE. This cover is provided to you

More information

2. Have you ever traded under a different name? YES NO If YES, please advise details:

2. Have you ever traded under a different name? YES NO If YES, please advise details: CONTRACTORS ALL RISKS PROPOSAL FORM Please answer all questions, completing the form in ink using block capitals. The completion and signature of this Proposal does not bind the Proposer or Insurers to

More information

Admiral Van: Excess Protection Insurance. Terms and Conditions

Admiral Van: Excess Protection Insurance. Terms and Conditions Admiral Van: Excess Protection Insurance Terms and Conditions Demands and Needs Statement This policy meets the demands and needs of a driver who needs to pay an excess following the successful settlement

More information

Application. Purchased Life Annuity Annuity Plan IV. An annuity purchased with client s own funds

Application. Purchased Life Annuity Annuity Plan IV. An annuity purchased with client s own funds Purchased Life Annuity Annuity Plan IV Application An annuity purchased with client s own funds In order for your application to be processed as a priority, the following must be completed. Agency no:

More information

Lack of Planning and/or Building Regulations Certification Indemnity Insurance Policy

Lack of Planning and/or Building Regulations Certification Indemnity Insurance Policy Lack of Planning and/or Building Regulations Certification Indemnity Insurance Policy This Policy is the contract between You and the Insurer and it includes the Schedule and any endorsement, extension,

More information

HOME INSURANCE POLICY SUMMARY

HOME INSURANCE POLICY SUMMARY HOME INSURANCE POLICY SUMMARY HOME INSURANCE POLICY SUMMARY This document is only a summary of your Policy and other key information about the insurance cover that you should read. It does not contain

More information

Home Contents insurance

Home Contents insurance When and how do I pay? You can pay your premium to the scheme administrator, details of which can be found in our policy booklet. When does the cover start and end? From the start date (shown on your Policy

More information

PROPOSAL FORM. RAINBOW HOME INSURANCE

PROPOSAL FORM. RAINBOW HOME INSURANCE RAINBOW HOME INSURANCE PROPOSAL FORM. Points to remember when completing this form: You need to fully complete all the sections on this form using BLOCK CAPITALS, which we use to determine whether to offer

More information

Excess Public and Products Liability. Policy document

Excess Public and Products Liability. Policy document Excess Public and Products Liability Policy document Contents The cover 6 Definitions 7 Conditions 8 Our complaints procedure 9 2 A warm welcome to Zurich Thank you for taking out your Excess Public and

More information

Group Money Purchase Plan

Group Money Purchase Plan Group Money Purchase Plan Member application Please complete in CAPITAL LETTERS and where appropriate. Please complete this application, sign it and return it to your employer. This form should be kept

More information

claim form home insurance Section 1 Details of policyholder Prior to submitting a claim

claim form home insurance Section 1 Details of policyholder Prior to submitting a claim home insurance claim form Name Address Your insurance contract is underwritten by International Insurance Company of Hannover SE UK Branch, as referred to in the declaration at the end of this claim form

More information

Loss of Licence Personal Accident and Illness Policy Summary

Loss of Licence Personal Accident and Illness Policy Summary AmTrust Underwriting Limited 1 Great Tower Street London EC3R 5AA tel: 0203 003 6969 fax: 0203 003 6997 email: aul@amtrustgroup.com Personal Accident and Illness Policy Summary Underwritten by AmTrust

More information

WELCOME TO FULL COVER AND DAMAGE COVER

WELCOME TO FULL COVER AND DAMAGE COVER WELCOME TO FULL COVER AND DAMAGE COVER Insurance for Mobile Phone and Connected Devices designed for consumer and small business Relax we ve got you covered This booklet contains everything you need to

More information

Simple. Application Form. Household Contents Insurance

Simple. Application Form. Household Contents Insurance Simple Household Contents Insurance Household Contents Insurance Application Form Please return your application form to: Sandwell Metropolitan Borough Council, Rent Control, Dartmouth House, Sandwell

More information

Buy to Let Mortgage Application Form - First Charge

Buy to Let Mortgage Application Form - First Charge Buy to Let Mortgage Application Form - First Charge Please check that the information stated is correct. Make sure you read and complete ALL sections before signing and dating the declaration. 1. Credit

More information

Welcome to Admiral s Goods and Tools Cover. Important Phone Numbers

Welcome to Admiral s Goods and Tools Cover. Important Phone Numbers Goods and Tools Welcome to Admiral s Goods and Tools Cover This booklet describes your contract for Goods and Tools Cover. Please read it carefully along with your current Policy Schedule. This is important,

More information

TYRE PROTECTION PROVIDED BY

TYRE PROTECTION PROVIDED BY TYRE PROTECTION PROVIDED BY POLICY CERTIFICATE Please read this policy carefully together with the schedule and make sure you understand and fully comply with all the terms and conditions as a failure

More information

Proposal Form Hiscox Overseas Holiday Home Insurance

Proposal Form Hiscox Overseas Holiday Home Insurance Hiscox Overseas Holiday Home Insurance 01 Hiscox Overseas Holiday Home Insurance Please read the following questions carefully and answer them all providing additional information where required. If you

More information

Executive and Private/Public Hire Liability Insurance

Executive and Private/Public Hire Liability Insurance Executive and Private/Public Hire Liability Insurance Proposal Form South Essex Insurance Brokers Ltd. are authorised and regulated by the Financial Conduct Authority. Application (Please complete in block

More information

Includes Fish Mobility Rescue

Includes Fish Mobility Rescue Includes Fish Mobility Rescue Mobility Scooter & Powered Wheelchair Insurance Application Form Call us now to get insured on 0333 331 3900^ Mobility Scooter & Powered Wheelchair Insurance Application Form

More information

Vodafone Insurance. Vodafone Insurance Policy Document

Vodafone Insurance. Vodafone Insurance Policy Document Vodafone Insurance This insurance is administered by Lifestyle Services Group Limited (LSG) and underwritten by Assurant General Insurance Limited. The device must have been provided by Vodafone, be connected

More information