Caravan Parks | Proposal Forms

General Questions

Please answer all the questions for each of the relevant sections as fully as possible. Incorrect answers or failure to disclose all material facts may render the insurance inoperative. Material facts are those, which would influence acceptance or assessment of the insurance risk. If you are in doubt, please disclose them or seek assistance from our insurance representative.

Proposers Full Name
Trading Name
Business Premises Address

Postcode
Telephone No
Email Address
Postal Address (if different from above)

Postcode
Telephone No

Period of Insurance

from

Section 1 - Property

Is cover required?

Yes No

Please give total values for	(i) Static Vans (Reinstatement)	£
	(ii) Static Vans (Indemnity)	£
	(iii) Sale Stock	£
	(iv) Mobile Homes & Chalets	£

Are any vans more than ten years old?

Yes No

If so, please give details

Please supply a full schedule of all caravans and their values

Registered in England: Number 608819
Authorised and Regulated by the Financial Services Authority

Registered Office:
Lygon House, 50 London Road, Bromley, Kent. BR1 3RA