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Aviation Insurance/Reinsurance Proposal Form - 2025
Please complete all fields and all fields marked with a "*" have to be complete. Any issues with completing this form - please contact us by email or Whatsapp (Admin@almsgroup.co.uk / +353868151852)
Insured Details
Please complete all details for the Insured party
Operator / Airline / Insured Name
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Country
*
Please Select
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor-Leste)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
The Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Click on Edit Options above - to access drop down menu
Contact Email
*
example@example.com
Contact Number/Mobile Number/WhatsApp Number
*
Please use your international code also
AOC HOLDER Name & Address
*
BROKER NAME (IF APPLICABLE)
If you are a broker - please add you details
LOCAL INSURANCE COMPANY NAME (IF APPLICABLE)
Please add The Local Insurer details - if this is for a Reinsurance quote
Renewal Date/Start Date
*
-
Day
-
Month
Year
dd/mm/yyyy
Current Insurer and local Broker if applicable
Current Premium
Schedule of Aircraft
OR - Email List of Aircraft in Excel format to Admin@ALMSGroup.co.uk
Aircraft 1
Aircraft 2
Aircraft 3
Aircraft 4
Aircraft 5
Aircraft Type and Model
Registration
Manufacturer Serial Number
Year of Manufacture
Pax Configuration
Aircraft Value US$
Spares Value US$
Aircraft 6
Aircraft 7
Aircraft 8
Aircraft 9
Aircraft 10
Aircraft Type and Model
Registration
Manufacturer Serial Number
Year of Manufacture
Pax Configuration
Aircraft Value US$
Spares Value US$
Liability Limits Required
General Third Party(TPL) / Combined Single Liability (CSL) LIMIT
Passenger Legal Liability Limit / Crew Legal Liability Limit
Cargo Liability limit / Baggage Liability Limit
LIST ANY OTHER LIABILITY YOU MAY REQUIRE COVER ON - INCLUDING THE LIABILITY LIMIT
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Jurisdiction & Routes:
Where will the aircraft be based:
List Countries that the Airline will fly to:
Who performs maintenance on each aircraft type and engine type and to Line Maintenance? (Including C and D checks)
Who performs maintenance on each aircraft type and engine type and to Line Maintenance? (Including C and D checks)
Full Details of Flight Crew or email list of pilots/crew to Admin@ALMSGroup.co.uk with full details.
Names
Type of Licence Held
Total Hours
Time on Make/Model
Commencement date / Renewal date
DETAILS OF ANY LOSSES DURING THE LAST 5 YEARS:
Any other details that you would like to add for consideration:
Submit
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