Coverage is subject to a completed application, full premium payment a minimum of 14 days prior to the Insured event and acceptance/approval of Underwriters.

Signing of this form does not bind you or the Underwriter to coverage however should you wish to proceed with cover the information herein and the answers you give will form part of the Insurance contract. Under the Insurance Contracts Act you are required to declare any matter which may affect the Underwriters decision whether or not to accept the Insurance risk. You are not required to declare any information that is of common knowledge or which the Insurer should know in the normal course of their business. (eg Rainfall statistics for your district are common knowledge)