Veidlapas - Marine Services Group

Open cover cargo insurance application form

by or Other

Please note that it is a duty of the Assured to provide full and accurate information to Underwriters and their agents and failure to do so may result in Underwriters’ right to reject a claim which relates to circumstances which should have been disclosed or which is subject to misleading or inaccurate information.

Company Name

Registration No

Company's jurisdiction

Contact person (Name, Surname)

Phone

Website / URL

Email *

Please provide a brief description of commodity(ies) to be inured

If possible, please send a photo of the cargo and its packaging

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Please indicate maximum value per conveyance

Please indicate average value per conveyance

Please provide a brief description of trading area

Please provide us with formal loss record from your current Insurers or give us detailed list of claims made against your company showing date and nature of claims and the amounts claimed from you. Such record should be for three last years as a minimum.

File Upload

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Forms

Apply for Cover Cargo Insurance

Single Shipment Cargo Insurance

Logistics Protection Program

Kontakti

Parakstīties uz jaunumiem

Open cover cargo insurance application form

What are you annual gross freight receipts?

How many trucks are you operating?

Please indicate which services you are providing and wish to cover under this insurance and which part from your entire gross freight revenue these services represent:

Services and operations:

To what+371 66102542 extent in %?

Geographical limits

Cargoes handled

Section Divider

Single shipment cargo insurance

Open cover cargo insurance application form