Podcast Insurance
True Crime
Investigative Journalism
History
Biographical
Politics
Religion
Health
Sport Comedy
News
Finances
Scripted Drama
Self-help / Medical
CLAIMS DECLARATION:
In the past 10 years, have you suffered any loss or had any claims (successful of not) against you that fall within the scope of the proposed cover?*
Yes
No
Are you aware of any facts, circumstances or situation which could lead to you suffering, a loss or claim made against you that falls within the scope of the proposed coverage?*
It is understood and agreed that with respect to the questions in the CLAIMS DECLARATION section, if such knowledge or information exists any claim or action arising from them will be excluded from this proposed coverage.
I declare that this application form has been completed after proper inquiry and, based on this inquiry, I declare the application contents are true, accurate and not misleading.
I declare that I will immediately notify Hiscox, before any contract of insurance is concluded, of any additional information that I might render the contents of this application untrue, inaccurate, or misleading, or if any new fact of matter arises which is material to the consideration of this application for insurance.
I declare that I understand and agree that if any if the contents of this application are intentionally untrue, inaccurate, or misleading, in any material respect, or if I fail to notify Hiscox of any additional information that might render the contents of this policy of this application untrue, inaccurate, or misleading, in any material respect, then Hiscox is entitled to rescind any policy issued pursuant to this application
I declare that I understand and agree that this application and all materials submitted in connection with this application are incorporated into and form the basis of any policy issued by Hiscox pursuant to this application.
I declare that by signing this application I am representing that I am duly authorised to execute insurance contracts on behalf of the entity applying for this coverage and that all representations (whether verbal or written) made in connection with this application are made on behalf of and shall be fully binding upon such entity
GDPR Agreement I consent to having this website store my submitted information so that they can respond to my enquiry.
