Home insurance proposal form

PRINTABLE VERSION (.PDF)
Τhe files marked with an * are optional for the submission of the from.

1 Details of the proposer

2 Additional details

Full address of the home

Brief technical description of the property

Brief description of the home

Security measures

Insured values

Type of home

Insured period

Mortgage (amount in €)

Payment method

Notes
For the insurance of the content a detailed list of the objects to be covered and their values is required.
Object of art and paintings with their respective values must also be declared separately.

I hereby declare that the above statements and particulars are true and that I have not suppressed or misstated any material facts and Iagree that this proposal form and any supplementary information sheet(s) attached hereto shall be the basis of any relevant insurancepolicy issued.
Submiting the form does not bind the proposer nor the insurer to proceed with this insurance coverage.