Fire Insurance

For Whom

The IGI Fire Insurance policy is suitable for the owners of property, one who holds property in trust or in commission, and individuals/financial institutions who have financial interest in the property. All immovable and movable property located at a particular premises along with goods held in trust or in commission can be insured.

Product

Non Life Products > General Business > Fire Insurance

Personal Information

* required fields

Name Of Proposer *

Permanent Address*

Marital Status

Insurance Required (Dates)*

From*

To*

Occupational Detail

Employer*

If self-employed, describe business activities:

General Question

Of what material(s) is the structure of the Building? Please tick

Walls*

Roofs *

Ground Floor*

Upper Floors *

If other than above, give detail :

External Dimensions: Length in meters*

Width in meters*

Is the Building in good state of repair? *

Is your premises periodically inspected for the purpose of detecting defects *

Is the building used exclusively for residential purposes?

If No, describe briefly the nature of trade or manufacture (including processes) carried on within the premises and by whom

Specify nature and kinds of merchandise stored (including hazardous goods) *

What are the sources of power supply? e.g. Gas, NEPA, Generating Set,Others*

What immediate assistance can be relied upon in case of FIRE OR EXPLOSION? (e.g. fire extinguishing appliances) *

What is the distance from the nearest FIRE STATION? *

What sources of water supply are available at all times? *

Do you take stock at least once a year?*

Do you keep a proper set of account books*

If YES, are they kept in a FIRE PROOF SAFE

If any part of your stock in trade consist of Valuations, e.g (Jewellery, Watches, Gold or Silver articles) state value ?(Naira) *

Insurance History

Are there any insurance in force on any of the property embraced in this proposal with this or any other Insurance company?*

Have you ever sustained any loss by FIRE OR EXPLOSION?*

Have you previously held any insurance of this type?*

Has any company in respect of FIRE and EXPLOSION Risks or any other Class of insurance ever

Declined your proposal?

Cancelled or refused to renew your policy?

Imposed any special terms?

SCHEDULE OF PROPERTY TO BE INSURED

DESCRIPTION

Important Notice: A separate amount must be stated for every separate Building and also for the Contents of each

Amount of the Proposed insurance

Building Viz

Machinery (itemize):

Merchandise (specify nature):

Stock & Utensils in Trade:

Goods held in trust or on Commission for which the proposer is responsible

Household Goods and Personal effects:

Total

What is the distance between your premises and the nearest building(s)? "in meters"

In front

Behind

To the Left

To the Right

For what purpose are the Building occupied?

Describe the external walls and roofing of the Buildings

Are there any additional facts likely to affect the proposed insurance which be disclosed to the underwriters? *

If yes please give details:

Sum Insured: *