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Single / One-Off Transit Insurance Quote - Online

Step 2 of 2 - Insured details

Please complete the following information and submit this form to obtain an insurance quotation for a one-off/single transit.

All information you provide must be correct, true, and accurate as incorrect or misleading information may alter our quote and jeopardise cover if you proceed with a policy.

Please refer to the CGIB Financial Services Guide, Privacy Statement, General Advice Warning and Duty of Disclosure before completing this form.

INSURED'S - Details

Insured name*
Business Address*	City/Town*	Post Code*
Postal Address*	City/Town*	Post Code*
Full address where goods are transited from*
Full address where goods are transited to*

Transit - Details

Date transit Commences*
Date transit Finalised*
Total value of all the Goods*
Mode of Transport e.g. Road*
Description of the goods*
How Goods Packaged*
Goods Carried/Transit By*

PREVIOUS INSURANCE - Details - MUST COMPLETE ALL QUESTIONS

Is the has the property been Insured?*
If "YES", please provide the date your existing policy expires* / /
Please provide the name of the Insurer*
Have you ever suffered any losses or claims?
Have you ever had any insurance cancelled or declined or special terms imposed?
Have you ever been charged or convicted of any criminal offence or declared bankrupt?
Are you aware of any matters not disclosed above that is relevant to the underwriter's consideration of this insurance?

If yes to any of the above, please provide details

CONTACT – Details

First Name*
Surname*
Phone No*
Fax No
Email Address*
How did you find us*
If other, please provide details

Comments

Mandatory Fields
Thank you for completing our online form.
We will endevour to contact you with your insurance details soon.

We may need to contact you to obtain additional information to provide you with an insurance quotation.
Completion of this form does not put an insurance policy/cover in place - you will need to contact us to arrange insurance cover.
All information you provide must be correct, true, and accurate as incorrect or misleading information may alter our quote and jeopardise cover if you proceed with a policy.
We recommend that you read the relevant Product Disclosure Statement when considering an insurance policy.