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Insurance Proposal Form Template for Ireland

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Key Requirements PROMPT example:

Insurance Proposal Form

"I need an Insurance Proposal Form for a commercial property portfolio in Dublin, compliant with Irish regulations and suitable for multiple properties, to be submitted to insurers by March 2025."

Document background
The Insurance Proposal Form is a crucial document in the Irish insurance contracting process, designed to gather comprehensive information from potential policyholders seeking insurance coverage. Used at the pre-contractual stage, this form serves as the primary means of risk assessment and forms the basis for the insurance contract. The document must comply with the Consumer Insurance Contracts Act 2019 and other relevant Irish insurance regulations, including data protection requirements under GDPR. The form typically includes sections covering personal or business details, risk information, insurance history, and material facts disclosure. It is used across various insurance types, including property, liability, motor, health, and life insurance, and can be adapted for both individual and commercial insurance applications. The accuracy and completeness of information provided in this form are crucial as they directly influence the insurer's decision to provide coverage and determine premium rates.
Suggested Sections

1. Personal Information: Collection of basic personal details including name, address, contact information, and date of birth

2. Data Protection Notice: GDPR-compliant explanation of how personal data will be collected, used, stored, and shared

3. Insurance Requirements: Details of the type and level of insurance coverage being sought

4. Risk Details: General information about the risk to be insured, including basic facts that would influence the insurance

5. Previous Insurance History: Information about previous insurance policies, claims, and any declinations of coverage

6. Material Facts Disclosure: Section for disclosing all material facts that could influence the insurance contract, as required by the Consumer Insurance Contracts Act

7. Declaration: Formal statement confirming the truth and accuracy of information provided, including acknowledgment of duty of disclosure

8. Payment Details: Information about premium payment methods and frequency preferences

Optional Sections

1. Property Details: Specific section for property insurance applications, including building specifications and security measures

2. Vehicle Details: For motor insurance applications, including vehicle specifications and usage details

3. Health Questionnaire: For life or health insurance applications, including medical history and current health status

4. Business Details: For commercial insurance applications, including business operations and financial information

5. Additional Insured Parties: Section for adding multiple insured parties when required

6. International Coverage: For policies requiring coverage across multiple jurisdictions

7. High-Value Items: Detailed section for specifically listed valuable items in content insurance

Suggested Schedules

1. Schedule A - Risk Assessment Questionnaire: Detailed questionnaire specific to the type of insurance being sought

2. Schedule B - Claims History Form: Detailed form for recording previous claims information

3. Schedule C - Property Inventory: For property insurance, detailed listing of items or properties to be insured

4. Schedule D - Medical History Form: Detailed medical questionnaire for health-related insurance

5. Appendix 1 - Supporting Documentation Checklist: List of required documents to support the insurance application

6. Appendix 2 - Premium Calculation Guide: Information about how premiums are calculated and factors affecting cost

7. Appendix 3 - Terms and Conditions: Standard terms and conditions applicable to the insurance policy

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions








































Clauses






























Relevant Industries

Insurance

Financial Services

Banking

Real Estate

Healthcare

Manufacturing

Retail

Professional Services

Construction

Transport and Logistics

Agriculture

Technology

Education

Hospitality

Relevant Teams

Legal

Compliance

Risk Management

Underwriting

Claims

Customer Service

Sales

Business Development

Operations

Finance

Documentation

Product Development

Relevant Roles

Insurance Underwriter

Risk Manager

Insurance Broker

Compliance Officer

Legal Counsel

Claims Manager

Insurance Agent

Policy Administrator

Business Development Manager

Account Manager

Financial Advisor

Corporate Secretary

Operations Manager

Finance Director

Company Director

Industries









Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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