Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your personal details in the 'Applicant’s Details' section, ensuring that you include your name, date of birth, and contact information. Use BLOCK LETTERS where indicated.
3. Provide your occupation and employer details in the 'Occupation Details' section, including the industry in which you work.
4. Fill out the 'Insurance Details' section, detailing any existing or previously applied insurance policies, including their specifics.
5. Complete the 'Personal Health Statement', responding truthfully to questions regarding your health history and lifestyle choices such as smoking and alcohol consumption.
6. In the 'Family History' section, indicate any relevant medical history of your immediate family, which may impact your application.
7. Review and confirm your understanding of the 'Declarations' section, acknowledging your Duty of Disclosure and certifying the truthfulness of your responses.
8. Once you have completed all fields, ensure that all information is accurate. You can then save changes, download, print, or share the form as needed.

To apply for your insurance coverage, complete the AU Zurich ZU11316 online today.