High-Value Art Marine Transit Insurance Form
Applicant Information
Full Name
Company Name
Email
Phone Number
Address
Transit Details
Origin
Destination
Desired Transit Date
Mode of Transport
Sea
Air
Road
Carrier / Shipping Company
Artwork Details
Description of Artwork
Artist Name
Declared Value (Currency & Amount)
Year of Creation
Dimensions (cm or in.)
Weight (kg or lbs)
Other Items/Details
Insurance Details
Insurance Amount Requested
Previous Insurance Claims
Special Instructions