Goods in transit insurance – get a fast insurance quotation

Please complete the details below as fully as possible.

Proposer details

Full name:

Correspondence address:

Postcode:

Telephone:

Email address:

Risk address (if different):

Risk postcode (if different):

Risk telephone (if different):

Full description of your business and type of goods carried:

Full description of your premises e.g. shop, public house, factory, warehouse etc.:

Do you have a claims history (within 5 years)?  Yes No

If you ticked yes, you must fill in the section below:

Date: D: M: Y:

Details of loss:

Amount:

Cover

Type of property:  RHA/All risk European

Sum assured:

Countries visited:

Annual charges:

For property sent by your own vehicles, what is the maximum value?

In any one package:

In each vehicle (inclusive of trailer):

Please give details of vehicle below

Make of vehicle & registration number:

Type of body:

Load limit:

Total number of own vehicles:

Will they be left loaded overnight?  Yes No

Please give details of security:

Keep vehicle registration:

Add GHV: