APPLICATION FOR ALL RISK PROTECTION COVER

For international, local and storage shipments

Title
First Name
Last Name
Packing Date
Owner Packed
Professionally Packed
Mode of Transport
Moving from City and Country  
Moving to City and Country  
   
This is an Item by Item Protection Cover

Please ensure you read through the instructions below:
  • Do not include bank & treasury notes, firearms, furs, jewellery (including precious metals and stones), money, perishables (e.g. make up, perfumes, food) plants, securities, stamps, watches or weapons, as these items are excluded from the Protection Cover. (see exclusions for further details)

  • Do not include more than EUR 10,000 worth of wine/ liquor or more than EUR 100,000 of fine arts
  • Enter the cost of your move if you are covering your shipping costs

  • Please ensure that any item or set individually at more than EUR 1,500 (or equivalent in other currencies) is listed separately

  • Items not declared and/or valued will not be covered
Note: Please do not delete the zeros unless these are being replaced with a valueue

 
AUTOMOBILES
VEHICLE TYPE YEAR MODEL CHASSIS NUMBER CURRENT VALUE
Note: non factory-installed auto accessories must be seperately listed and valued
      AUTOMOBILES TOTAL
QTY ITEM UNIT VALUE TOTAL VALUE QTY ITEM UNIT VALUE TOTAL VALUE QTY ITEM UNIT VALUE TOTAL VALUE
1 LOFT/BASEMENT   4 CLOTHING - MENS   8 BEDROOM 3  
XMAS DECORATIONS SUITS BEDS
SEASONAL ITEMS SHIRTS MATTRESS
TROUSERS CHAIRS
SHORTS LAMPS and SHADES
SWEATERS CHEST OF DRAWERS
2 MASTER BEDROOM   COATS / JACKETS BEDSIDE TABLES
BEDS SHOES CARPETS / RUGS
MATTRESS BOOTS WARDROBES
CHAIRS TIES CURTAINS
LAMPS and SHADES NIGHTWEAR 9 BEDROOM 4  
CHEST OF DRAWERS SOCKS / UNDERWEAR BEDS
BEDSIDE TABLES SPORTSWEAR MATTRESS
DRESSING TABLES HATS CHAIRS
CARPETS / RUGS LAMPS and SHADES
WARDROBES CHEST OF DRAWERS
PICTURES / MIRRORS 5 BATH ROOMS   BEDSIDE TABLES
CURTAINS RUGS / MATS CARPETS / RUGS
TOWELS WARDROBES
CABINETS / SHELVES CURTAINS
TOILETRIES 10 CLOTHING CHILDREN  
MIRRORS SHIRTS
3 CLOTHING WOMEN   TROUSERS
BLOUSES SKIRTS
DRESSES 6 BED ROOM2   DRESSES
SKIRTS BEDS NIGHTWEAR
TROUSERS MATTRESS COATS / JACKETS
SHORTS CHAIRS UNDERWEAR
SHOES LAMPS and SHADES SHOES / BOOTS
BOOTS CHEST OF DRAWERS SWEATERS
COATS / JACKETS BEDSIDE TABLES
HOSIERY / SOCKS CARPETS / RUGS 11 TOYS / GAMES  
UNDERWEAR WARDROBES
NIGHTWEAR CURTAINS
SPORTSWEAR
SWEATERS 12 PERSONAL ITEMS  
SCARVES LUGGAGE / SUITCASES
HANDBAGS 7 LINEN   COSMETICS
HATS TABLE LINEN CHILD CAR SEATS
BED LINEN PRAMS / STROLLERS
TOWELS
BLANKETS / DUVETS
TOTAL1   TOTAL2   TOTAL3  
QTY ITEM UNIT VALUE TOTAL
VALUE
QTY ITEM UNIT VALUE TOTAL VALUE QTY ITEM UNIT VALUE TOTAL VALUE
13 LIVING ROOM   17 UTILITY ROOM   23 FRAGILE ITEMS  
SOFA WASHING MACHINE CRYSTAL / GLASS
CHAIRS DRYER
CARPETS / RUGS IRON / IRONING BOARD
CURTAINS VACUUM CLEANER
PICTURES
CLOCKS 18 SPORTS EQUIPMENT  
TELEPHONE GOLF CLUBS ANTIQUES / ARTWORK
CABINET / BOOKCASES GOLF TROLLEY
BOOKS SKIS
MIRRORS SKI BOOTS
LAMPS and SHADES GYM EQUIPMENT
COFFEE TABLE
19 PHOTOGRAPHIC  
CAMERAS ORNAMENTS
VIDEO EQUIPMENT
14 FAMILY ROOM / STUDY  
SOFA 20 MUSICAL INSTRUMENTS  
CHAIRS PIANO
TABLES
DESK
CARPETS / RUGS SILVERWARE
LAMPS and SHADES 21 GARDEN / GARAGE  
CABINET / BOOKCASES BARBEQUE
PICTURES SWINGS
CLOCKS TABLES
CURTAINS CHAIRS AND BENCHES
BOOKS GARDEN TOOLS 24 MISCELLANEOUS  
LAWN MOWER POOL TABLE
HOSE
15 DINING ROOM / STUDY   GARDEN TOYS
CHAIRS SAWS
TABLES DRILLS
BUFFET TOOLSET
CHINA CABINET BICYCLES
CARPETS / RUGS LADDERS
CHINA 25 OFFICE ITEMS  
PICTURES SAFE
CLOCKS 22 ELECTRICAL / HI-FI  
MIRRORS HOME CINEMA
LAMPS and SHADES BLUE RAY PLAYER
CURTAINS TUNER
AMPLIFIER TOTAL6  
DOCKING STATION HIGH VALUE ITEMS  
SPEAKERS
16 KITCHEN   TV
COOKER DVD PLAYER
MICROWAVE OVEN RADIO
DISHWASHER SATELLITE RECEIVER
REFRIGERATOR COMPUTER + MONITOR
FREEZER PRINTER
FOOD PROCESSOR COMPUTER SOFTWARE
TABLE LAPTOP TOTAL HIGH VALUE ITEMS  
CHAIRS DVDs    
CUTLERY / UTENSILS BLUE RAYS AUTOMOBILES  
POTS / PANS SMALL APPLIANCES TOTAL 1  
LINENS SMALL APPLIANCES TOTAL 2  
CHINA AND DISHES TOTAL 3  
GLASSWARE TOTAL 4  
TOTAL 5  
TOTAL4   TOTAL5   TOTAL 6  
            TOTAL HIGH VALUE ITEMS  
  SHIPPING COSTS  
  TOTAL TO BE COVERED  
  CURRENCY  

      Terms & Conditions
      

Please click here to confirm that you have read and agree to the terms and conditions

Declaration of the Proposer

I declare that I have disclosed all material facts and understand that failure to do so could render my enrolment and coverage void.  I declare that the amounts stated above are the full value of the goods at destination.  I confirm that I have declared all items that I wish to be covered with all details requested.  I have read the conditions stated overleaf and understand that these shall form the basis of my enrolment in the All Risk Protection Policy.

 

 

Please select a Santa Fe office you want to submit this form to

Note: This should be the office you have booked your relocation with.

 

I want to receive a copy of my enrolment form

 

Please specify email:

Note: Forms submitted online cannot be retrieved via our website.