Insurance Tcm Form
Upcoming SlideShare
Loading in...5
×
 

Insurance Tcm Form

on

  • 1,098 views

 

Statistics

Views

Total Views
1,098
Views on SlideShare
1,098
Embed Views
0

Actions

Likes
0
Downloads
9
Comments
0

0 Embeds 0

No embeds

Accessibility

Upload Details

Uploaded via as Adobe PDF

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Insurance Tcm Form Insurance Tcm Form Document Transcript

  • UNDERWRITING INFORMATION FOR HOME INSURANCE 料資保投 險保屋房 料資保投 險保屋房 料資保投 險保屋房 料資保投 險保屋房 - OWNERS NAME(s) :名姓人保投 :期日生出 Date of Birth FULL ADDRESS :址地 :號編區政郵 Postal Code HOW MANY FAMILIES ARE LIVING IN THIS HOUSE: :址上在住口戶庭家個少多有明列請 Non-Smokers? Yes □ No □ 否 是:者煙吸有否是中客住 □ □ USE OF HOUSE e.g. primary residence, rental, etc. :人他與租出是或住自是業物此 ANY RENTAL ROOM? :戶租名少多有 EXISTING POLICY INSURER: :稱名司公險保之前目供提請 POLICY NUMBER AND EXPIRY DATE: :期日效有之單保該及碼號單保 Existing Policy Building Limit (if NOT condo): e.g. $400,000, can be found in your existing policy 如,值價保投之業物該上單保出列請 $400,000 Building Information: Age of bldg (year built) :齡樓之業物該出列請 How many storeys :層少多高樓 Type of bldg: e.g. detached; townhouse; condo, etc.: 屋排 屋鎮 屋立獨 :類種業物 □ 廈大文柏管共或 □ □ □ Garage e.g. detached double garage 房車單 他其或 房車雙 □ □ □ Exterior Wall e.g. brick, Frame, masonry; aluminium sidings - 石 片鋁 木 磚:料物牆外屋房 % % % % Interior Wall e.g. plaster, drywall - )板膏石,泥灰:如例(:料物牆內 % Roof e.g. shingles and % :料物頂屋 % Ceiling - e.g. 8 ft, 10 ft 呎十 呎八如例 度高底樓 % - / : Living room - area & floor (e.g. carpet, hardwood, tiles) :料材及積面廳客 Dining room - area & floor (e.g. carpet, hardwood, tiles) :料材及積面廳飯 Family room - area & floor (e.g. carpet, hardwood, tiles) :料材及廳庭家 No. of bedrooms and area of each bedroom :積面間房及目數房睡 No. of Kitchens; area & floor (e.g. ceremic tiles, etc.) :料材面地 :積面及目數房廚 Other rooms - no. and area :積面間房及目數間房他其 Basement - finished/unfinished; area :積面或 :成完否是庫地 or % % Other areas (e.g. corridors, laundry room etc) - approx. area 他其或、房衣洗、廊走:括包 積面方地他其 ( ) Total Living area (total of the above): :積面總間空動活房住 No. of bathrooms: :目數間手洗 2-piece (toilet & basin) - how many :目數)盆手洗及廁坐:括包(頭件兩 3-piece (toilet, basin & shower or bathtub) - how many :目數)缸浴或灑花、盆手洗、廁坐:括包(頭件三 Ensuite; 4-piece (toilet, basin, shower and bathtub) - how many :目數)缸浴及灑花、盆手洗、廁坐:括包(頭件四 Airconditioning system - yes/no :目數 式掛懸 統系央中:類種 : 否 有:備設節調氣空 □ □ Heating system - type e.g. forced air furnace; wood stove etc :料資統系氣暖 Fireplace - no. and type of Fireplace: :類種 否 有:爐火 □ □ Plumbing - pipes are copper, plastic or others? :)他其或料塑、銅(類種管水 Electrical - 100 amp? :料資應供力電 Burglary alarm - yes/no; monitored - yes/no :台察監到駁接否有 否 是:裝安統系盜防 □ □ No. of Smoke detectors 否 是:台察監到駁接否是, 目數之器測探霧煙 ; monitored - Yes/no □ □ Is fire hydrant in the vicinity of your house? Yes/no 否 是 喉街火救之府政有裝安否是近附業物 : □ □ Is firehall within 8km of your house? Yes/no 否 是 ?局防消有設否是內里公八之業物在 □ □ Outbuildings e.g. enclosed porch; gazebo; garden shed … / , , 施設之建加式各他其或 房陽太 格間風防如物築建他其有設否是外屋 業物 Swimming pool - Yes/no 否 是 ?池泳游家私有設否是業物 □ □ Other additions e.g. extra kitchen, skylights, hot tub; jacuzzi/jetted tub; wet bar ,等池摩按,吧水,窗天如,施設他其 If building over 20 years old, need when update been made for - Roof; electricical; plumbing; heating/aircon systems etc.: 板婊電及線電 板婊電及線電 板婊電及線電 板婊電及線電 頂屋 新更時何於施設下以出列請,年廿過超齡樓如 頂屋 新更時何於施設下以出列請,年廿過超齡樓如 頂屋 新更時何於施設下以出列請,年廿過超齡樓如 頂屋 新更時何於施設下以出列請,年廿過超齡樓如 : 氣暖冷 管水 氣暖冷 管水 氣暖冷 管水 氣暖冷 管水 NOTE: we cannot provide home insurance in which the house has any commercial activity e.g. clinic or it is a multi-tenant occupancy 所診居家或租分如,居家之動活業商何任有於用適不險保惠特此:意泩請 Claims History - any claim or loss in the past 6 years. If so, provide date, details of claim/loss 額金及固事償賠出列請?償 索否有年六去過於下閣 Any Other comments and/or Information: Name/Address of Mortgagee: 址地及稱名司公謁按或行銀 How long have you been in this present premises? ?久多住居業物此於下閣 How long has you have home insurance? ?險保屋房買購始開時何於閣