Proposal and Declaration Forms

Click on the links below to be taken to the appropriate proposal and declaration forms:

You will need Adobe Acrobat to read the following downloads. Click here to download the free application.

Engineering proposal and declaration forms

Contract Works

Contract Works single risk fact finder

Contract Works declaration of work to be undertaken form

Contract Works renewal declaration form

Transit, Erection and Testing

Transit, Erection and Testing proposal form

Advanced Loss of Profits

Please contact the Engineering team by
calling us on (09) 308 1100 or emailing
engineering@lumley.co.nz

Electronic Equipment

Electronic Equipment proposal form

Machinery Breakdown

Machinery Breakdown proposal form

Loss of Profits proposal form

Deterioration of Stock proposal form

Deterioration of Stock endorsement form

Contractors Plant and Machinery

Plant and Machinery proposal form

Plant, Machinery and Tools proposal form


Liability proposal and declaration forms

Combined Liability renewal declaration- all lines  All lines (except Technology Liability) renewal declaration form
Adventure Tourism Liability Adventure Tourism & Events Organisers proposal form

Employers Liability

General, Statutory and Employers Liability proposal form

Employers Liability no claims declaration form

Employers Liability renewal declaration form

Fidelity and Crime Liability

Crime proposal form

General Liability

General, Statutory and Employers Liability proposal form

General Liability no claims declaration form

General Liability renewal declaration form 

Internet Liability Internet Liability proposal form

Statutory Liability

General, Statutory and Employers Liability proposal form

Statutory Liability no claims declaration form

Statutory Liability renewal declaration form  

Statutory Liability (Australia) form

Associations Liability

Associations Liability proposal form

Associations Liability no claims declaration form

Associations Liability renewal declaration form 

Property owners Liability Property owners Liability proposal/declaration form

Directors and Officers Liability

Directors and Officers Liability proposal form

Directors and Officers Liability no claims
declaration form

Directors and Officers Liability renewal
declaration form

Employment Disputes Liability

Employment Disputes Liability proposal form

Employment Disputes Liability no claims
declaration form

Employment Disputes Liability renewal
declaration form

Malpractice Liability

Malpractice Liability proposal form

Malpractice Liability no claims declaration form

Malpractice Liability renewal declaration form

Management Shield Management Shield proposal form

Professional Indemnity

Professional Indemnity proposal form

Professional Indemnity no claims declaration form

Professional Indemnity renewal declaration form

Professional Indemnity (Licensed Building Practitioners) declaration form

Trustees Liability

Trustees Liability proposal form

Trustees Liability no claims declaration form

Trustees Liability renewal declaration form

Technology Liability

Technology Liability proposal form

Technology Liability no claims declaration form

Technology Liability renewal declaration form

Bailees Liability

Bailees Liability renewal declaration form

Bailees Liability proposal form

Legal Prosecution Defence Liability

Legal Prosecution Defence proposal form

Legal Prosecution Defence no claims declaration form

Legal Prosecution Defence renewal declaration form

Marine proposal and declaration forms

Hull

Commercial Fishing Vessel proposal form

Commercial Hull proposal form

Marine Builders Risk proposal form

Marine Dealers Hull proposal form

Marine Hull Bluewater proposal form

Masters Questionnaire form

Cargo

Aviation Risks in Transit proposal form

Building in Transit proposal form

Horticultural Produce Marine proposal form

Household Removal proposal form

Marine Cargo proposal form

Marine Cargo annual declaration form

Marine Consequential Loss and/or advanced profits proposal form

Vehicle in Transit proposal form

Vehicle Preshipment Condition report

Vessel in Transit proposal form

Pleasurecraft Safe Anchor pleasurecraft proposal form

Carriers Liability

Carriers Liability proposal form

Marine Liability

Charterers Liability proposal form

Freight Forwarders and Customs Brokers combined liability renewal questionnaire

Freight Forwarders Combined Liability proposal form

Marina Operators Liability proposal form

Ship Repairers Liability proposal form

Stevedores Liability proposal form

Wharfingers Legal Liability proposal form


Motor proposal forms

TOP PAK™

TOP PAK™ proposal form

Autofleet

Please contact the Commercial Motor team by
calling us on (09) 308 1100 or emailing
motor@lumley.co.nz  

One to Ten Plus

One to Ten Plus proposal form

Motorcycle

Please contact the Star Underwriting Agency.


 

Personal Lines proposal forms

Safe and Sound™

Safe and Sound™ Home and Contents proposal form
Contents valuation guide

Drive Easy

Drive Easy proposal form

Safe Anchor

Safe Anchor Pleasurecraft proposal form

Stationery can be ordered by completing and sending the Stationery Request form to your nearest branch.

Property proposal forms

Material Damage and Business
Interruption

Material Damage and Business Interruption proposal form

Material Damage and Business Interruption declaration form

Personal Accident and Illness

Personal Accident and Illness proposal form

Personal Accident and Illness declaration of health form

Earthquake Damage Declaration

 Earthquake damage declaration form

Products and services
Crash Scene Assistance

Check out the Crash Scene Assistance section to find out how we can help when the worst happens

Tools and downloads