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 proposal form 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
| Adventure Tourism Liability | Adventure Tourism & Events Organisers proposal form |
| Employers Liability | Employers Liability (Standard) proposal form Employers Liability no claims declaration form Employers Liability renewal declaration form |
| General Liability | General Liability (Standard) proposal form General Liability no claims declaration form General Liability renewal declaration form |
| Statutory Liability | Statutory Liability (Standard) proposal form Statutory Liability no claims declaration form Statutory Liability renewal declaration form |
| Associations Liability | Associations Liability proposal form Associations Liability no claims declaration form Associations Liability renewal 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 |
| Professional Indemnity | Professional Indemnity proposal form Professional Indemnity no claims declaration form Professional Indemnity renewal 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 |
| Bailees Liability | Bailees Liability renewal declaration form Bailees Liability proposal form |
Marine proposal forms
| Hull | Blue Horizons Pleasurecraft proposal form 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 Consequential Loss and/or advanced profits proposal form Vehicle in Transit proposal form Vehicle Preshipment Condition report Vessel in Transit 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
Personal Lines proposal forms
| Safe and Sound™ | Safe and Sound™ Home and Contents short proposal form Safe and Sound™ Home and Contents proposal form Safe and Sound™ pre 1945 homes questionare Safe and Sound™ Contents valuation form |
| DrivEasy™ | DrivEasy™ short proposal form DrivEasy™ proposal form Driver’s experience form Modified vehicle questionaire |
| Classic Car | Classic car proposal form |
Stationery can be ordered by completing and sending the Stationery Request form to your nearest branch.
Property proposal forms
| BIZPAK™ | BIZPAK™ proposal without extensions form
BIZPAK™ proposal with extensions form
BIZPAK™ Material Damage multiple location form BIZPAK™ USA and Canada products
supplementary questionnaire BIZPAK™ declaration form |
| Material Damage and Business
Interruption | Material Damage and Business Interruption proposal form
Material Damage and Business Interruption declaration form |
| Mortgage Redemption Insurance
| Please contact the Property team by calling
us on (09) 308 1100 or emailing property@lumley.co.nz |
| Personal Accident and Illness | Personal Accident and Illness proposal form Personal Accident and Illness declaration of health form |
| RuralPak™ | RuralPak™ proposal form |
| TOP PAK™ | TOP PAK™ proposal form |
| Earthquake Damage Declaration | Earthquake damage declaration form |