Caravan Application Form

YOURDETAILS

CARAVAN/ TRAILER DETAILS

You

  • Have had no other insurer at any time refused to insure you, imposed special terms or requested extra precautions.
  • or any persons having an interest in the boat have never been convicted of arson, or of any offence involving dishonesty of any kind such as smuggling, fraud, robbery, theft or handling stolen goods.

Facts Omitted or Misrepresented

The Policy or any subsequent renewal may be deemed invalid if the insured or anyone acting on the insured’s behalf has obtained cover through omission or inaccuracy of any response provided in this Form. In the event that Insurers void the Policy a refund of premium may not be made.

DECLARATION

  • I/We declare that the statements and particulars contained in this form are true and complete. I/We will provide details of any alteration to this information as soon as possible prior to commencement of the period of insurance.
  • I/We agree that if any answers have been completed by any other person, such person shall for that purposes be regarded as my/our agent and acting on my/our behalf, and not the agent of Topsail Insurance
  • I/We agree to receive the insurance quote and all other correspondence by email, to the email address provided.
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INSURANCE AFFILIATIONS