Goods in Transit Questionnaire

This document constitutes an integral part of the Policy certificate issued.

Email Address:
Trading Name:
Vat Number:
Name of owner(s):
List of addresses of all depots operated: 1.  
  2.  
  3.  
Previous trading names (if applicable):
Registration Date of Business:
COMMODITIES HAULED PERCENTAGE AVERAGE VALUE MAXIMUM VALUE
A:



%
R

R

B:



%
R

R

C:



%
R

R

D:



%
R

R

Gross haulage fees (including fees generated by sub-contractors):
Estimated forthcoming year: R  
Current year: R  
Past year: R  
Sub-contractors: R  
Radius of Operations:
Local (i.e. max 160km):   %
Long Distance:   %
Area of operation:
Goods in Transit Claims Experience (losses) last 3 years (if not insured for any period, list losses that occured):

INSURER YEAR LOSSES


Current Transit Insurer:
Branch / Office:
Policy No:
Cover Required:


Define events (specify):  

Load Limit Required: R  
How many prime movers are in the fleet:
  
Are you the owner / driver?:
How many drivers are utilized in a vechileat a time?:
Are vechiles operated between
22:00 & 04:00?:
Is cover required for sub-contractors?:
SUB-CONTRACTOR (NAME) HOW MANY TRUCKS / TRUCK TRACTORS HAULAGE FEES CLAIMS EXPERIENCE
































Please indicate if any written contract with clients exists which stipulates that the selling price is the basis of identity:
Any other underwriting information:
HIGH RISK / HIJACKING EXPOSURE (To be completed if hijack cover is required)
Are the following commodities carried?:
Liquor Cigarettes / Tobacco
Foodstuffs Textiles
Electronic Equipment
including Radios & TV sets

Computers
Paper
Clothing & Footwear
Steel
Motor Vechiles
Abnormal Loads
Specify:  
Please confirm that if none of these commodities mentioned above are carried, it is not your intention to carry any of these within the next 12 months:
Do you use protected truck – stops only?:
If not, where does your vechiles stop?:
Do you deliver goods into high – risk areas?:
What form of communication do you have
with your driver’s whilst they are on the road?:
Do you have any contingency plans following a hijack?:
Are your drivers aware of these contingency plans?:
State procedure:
Do you travel in a convoy?:
Are your vechiles protected against theft in any way? (i.e. immobiliser, satellite, alarm, etc):
If so, state make and brief description of operation: