Freight Forwarder Marine Insurance Proposal
Proposer Details
Company Name
Contact Person
Address
Email
Phone
Website
Business Operations
Nature of Goods Typically Shipped
Estimated Annual Turnover (USD)
Geographical Areas Covered
No. of Years in Operation
Insurance Required
Coverage Type
All Risk
Named Perils
Sum Insured (USD)
Period of Insurance
Special Requirements
Previous Insurance Details
Insurer Name
Policy No.
Claims in Last 3 Years
Declaration
Name
Date
Signature