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Ph (07) 3808 3244 *
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Ph (02) 8255 8388
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Ph (03) 9038 8339
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* Head Office

Insurance Proposal Form
Fill in details and click the Submit button

We welcome enquiries for marine cargo insurance including large values, even commodities. However, we do need full information such as, names and addresses of: enquirer, owner of the goods, supplier and consignee.
Plus method of transport and name (s) of vessel (s) expected to be used or being negotiated.
Actual transit or voyage e.g. ex works or warehouse, F.O.B., C.& F. with discharge port and final destination.
The goods to be insured, in bulk or how packed, if F.C.L. or L.C.L.
The sum to be insured and if this is C.I.F. plus Duty or G.S.T. plus 10%. 
In other words, all the information that you need to supply in order to comply with Your Duty of Disclosure

Name and Address of Proposer
Name and Address of Remover
Name and Address of   Professional Packer  Please state if owner packed
VOYAGE 
Address from which  Goods are to be moved   
Date (s) of packing / uplift
Address to which Goods are to be sent
Goods will be  Sent by Sea Air Rail Road
If Sea state name of Vessel ( See note 1 )
STORAGE
Have Goods been in Store?		 Yes ; Since when?
No
Will Goods be stored Prior to Shipment? Yes ; How long?
No
Will Goods be stored at Destination? Yes ; How long ( See Note 2 )?
No
Value of goods at destination
What Currency are you using

Cover will continue during the normal course of transit (including up to one month at packer's premises) from the time the goods are taken up at the above address until set down at the final address (including up to one month after discharge from Ship awaiting delivery).

Note 1 When name of vessel is unknown a quotation will be given on the basis that the vessel is approved by Underwriters.  In such cases it is possible that when the Underwriters are eventually informed of the name of the vessel an additional premium may be required, especially should the vessel be over 15 years old.
Note 2 In the event of any storage taking place before arrival at final address, cover will cease on arrival at such place of storage unless prior notice is given to New Zealand Shipping stating full details of the location, storage facilities and period, and an additional premium paid.

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