For Yes / No Answers Delete Incorrect Answer · Web viewCompetition flight Dealer/Demo Flights Line...
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Rotary Wing Proposal Form Name of Insured & Owner Address (inc postcode) Mobile E-mail Occupatio n Aircraft Type/Mode l & Registrat ion Number of Passenger Seats, MTOW & U/C Type (Fixed or Retractable ) Serial Number & Year of Manufactur e Agreed Aircraft Value Inc Fixed Instruments /Avionics No. of Engines & Type Value Of Non Fixed Kit E.g. GPS etc Details of Pilots To Fly This Aircraft Pilot Date of Birth R/W Hours Hours on Type Turbine Hours License Type
Transcript of For Yes / No Answers Delete Incorrect Answer · Web viewCompetition flight Dealer/Demo Flights Line...
Rotary Wing Proposal FormName of Insured & Owner
Address (inc postcode)
Mobile
Occupation
Aircraft Type/Model & Registration
Number of Passenger Seats, MTOW & U/C Type (Fixed or Retractable)
Serial Number & Year of Manufacture
Agreed Aircraft Value Inc Fixed Instruments/Avionics
No. of Engines & Type
Value Of Non Fixed Kit E.g.GPS etc
Details of Pilots To Fly This Aircraft
Pilot Date of Birth R/W Hours Hours on Type Turbine Hours License Type
When Is Cover Required
Period of Insurance: (dd/mm/yy) To:
Estimated Flying Hours Per Year:
Uses (Your Demands & Needs)Please describe exactly what the aircraftwill be used for:
Private Pleasure FlightsTaxi/Charter FlightsAir FreightIndustrial Aid (Business Related Flights)PPL SchoolingTraining for higher certificates/ConversionsScenic FlightsPhoto below 1000ft AGLCompetition flightDealer/Demo FlightsLine inspection below 1000ft AGLAir DisplaysPlease list any other uses not stated above with further details.Please also give details, if any, of Risk Management features that improve your risk profile over others of a similar nature?
Aircraft Passenger and Third Party LiabilityLegal Limit of Liability Will Be Quoted – If Higher Limit Required Please State £
Important Additional Information about the AircraftWhere is/are the Aircraft based:Is It Hangared?
Will the aircraft be operated outside of Europe (if so please provide full details)
Is there any finance on the aircraft: Yes / No. Who?
Details of any Losses / Claims within the last 5 years of the Insured or any pilot insured to fly the above aircraft:
Have the Insured ever been declined insurance: Approximate Current Premium:Who Is Your Broker?No Claims Discount (On Renewal Letter)
£ £ or %
Do you have any other insurances you would like us to quote on? If so please provide details
Further Notes (if required)
By submitting this form electronically I hereby declare that to the best of my knowledge and belief the answers to the foregoing questions are true and complete and that I have not withheld any information which might influence the decision of the Insurers with regard to this proposal. I agree that this proposal and declaration shall be the basis of the Contract between me and the Insurers if a policy is issued. Furthermore I authorise Forbes to approach the insurance market on my behalf and I give them exclusive access to Sirius Aviation.
