Get Proposal Form For Individual Personal Accident ... - Uiic Co

Completing the proposal form for individual personal accident insurance is a necessary step for securing your coverage. This guide will walk you through the process step-by-step, ensuring that you provide all required information accurately and efficiently.

Follow the steps to successfully complete your proposal form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the name of the proposer and the name of the insured person in the designated fields. Indicate the relation between the proposer and the insured person.
3. Enter the residential address and any correspondence address in the respective sections. Ensure that the addresses are complete and accurate for proper communication.
4. Provide details about your profession, occupation, trade, or business. Include a full description of your duties, and specify if you are primarily engaged in administrative tasks.
5. Answer the questions regarding occupational risks, including engagement in activities like racing, hunting, or mountaineering. Be honest in your responses, as these details help assess the risk involved.
6. Provide your average monthly income from gainful employment and other sources, summing it to provide a total amount.
7. Fill in your date of birth, height, and weight in the next section. Ensure these figures are accurate for policy calculations.
8. Respond to the health-related questions regarding any physical defects or chronic diseases. Provide detailed descriptions if applicable.
9. Disclose any previous experiences with accident and life insurance, including any proposals made or policies declined. Specify any previous claims made under accident policies.
10. Indicate your premium preferences by filling in the capital sum insured, table of cover, and period of insurance details.
11. If you wish to obtain cover against additional risks, indicate your choices in the appropriate field.
12. List the family members to be covered under the family package, including details of age, profession, and income.
13. Indicate if you wish to cover medical expenses due to an accident.
14. Review all your answers for accuracy. Sign and date the proposal as required, ensuring clarity in your declaration.
15. After completing all sections, save your changes, and choose the options to download, print, or share the completed form as needed.

Complete your proposal form online today to secure your personal accident insurance.