APPLICATION FOR ALL RISK PROTECTION COVER

Lump Sum Protection Cover

Title
First Name
Last Name
Packing Date
Owner Packed
Professionally Packed
Mode of Transport
Moving from City and Country  
Moving to City and Country  
   
Please ensure you read through the below instructions:
  1. Please declare the replacement cost at destination of all items in your shipment. Note: Every item that you intend to move must be included in the cover.
  2. Do not include cash, watches, jewellery, plants, stamps or similar valuable articles as these items are excluded from the protection cover.
  3. Please ensure that any item or set valued individually at more than GBP 1250 (or equivalent in other currencies) is listed separately.
Please note this cover allows for up to GBP 125 for wines/liquors. Should you wish to insure more than GBP 125 of wine/ liquors please speak to your move co-ordinator who can arrange cover separately
 
This is a Lump Sum Protection Cover
 
Each cubic meter is given a minimum value of GBP 2250. This can be increased to ensure sufficient coverage.
 
High Value items must be listed and valued.
• 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
• It is required that this form is signed, dated and returned to Santa Fe prior to packing.
• Should you feel the form is too restrictive, or if you would prefer to compile your own list, that is allowed
Please ensure that any item or set valued at more than EUR 1500 (or equivalent in other currencies) is listed) This is a Lump Sum Protection Cover
 
This is a Lump Sum Protection Cover
Each cubic meter is given a minimum value of EUR 2500. This can be increased to ensure sufficient coverage.
High Value items must be listed and valued.


Note: Please do not delete the zeros unless these are being replaced with a value
(A)  Total Cubic Capacity of your shipment
(One cubic meter is equivalent to 35.32 cuft)
(B)  @ GBP 2250 per cubic meter
(i.e. Section A x GBP 2250 = Section B)
C)  Plus the total of any items valued in excess of GBP1250 as listed on this inventory
QTY Article  Value  
 
 
 
 
 
 
 
 
       
(D) Household Goods Total

(i.e. Section B + Section C = Section D)
(E) Automobile
(F) Shipping Costs

If you wish to insure your shipping costs please enter the cost of your move

GRAND TOTAL:

(i.e. Section D + Section E = GRAND TOTAL)

Total Cover Amount
Insured 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 Relo 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:

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