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Insure your home whether you own it or you rent it
against wide range of risks .

 
 
To download the form as PDF file click here  


Application Form:

Insure your Home

 Whether you own it or you rent it

Against the risks of : Fire, Lightning, Earthquake, Storm, Tempest, Flood, Impact of Road Vehicles, Falling Aircraft, Burglary, Strikes, Riots, Civil Commotion.

The policy includes also the following additional covers :-

  1. Loss of Rent : up to JD3,000/- per year.

  2. Legal Liability : towards third parties and the neighbors or the owner of the building up to JD10,000/- per year.

  3. Injury : at the premises to the insured, spouse, children or the maid, resulting in death or permanent total disability up to JD3,000/- per person (max. 5 persons).

At an annual premium of JD 3 per thousand of the total value of your property.
If the value of your building exceeds JD. 50000 please ask for a special quote .
If you wish to examine the policy conditions or if you have any question , please e-mail
your query or ask for a representative to phone or visit you at your convenience.

To obtain the cover, please answer the following questions :-
 

Your Name :

Postal Address :

POB
Code
City
E-mail
Tel
Mobile
Fax
Location of Premises :
City
Area
Street No.
Type of Premises :
House
Apartment
Floor No.
Do you own the premises : Yes        No

Have you ever suffered a loss from any of the above perils? If yes please provide details on a separate sheet .

Sum Insured:-

Building (excluding the land) : JD
Contents , Furniture : JD
Clothes : JD
Electrical appliances: JD
Cameras , watches, etc. JD
Silverware, paintings, crystal : JD
Valuable Carpets : JD
Other (excluding money, gold & jewelry) : JD
Total sum insured : JD


Premium Calculation : Total sum insured JD x JD 3 = JD / 1000

Please add 20% (sales tax , stamps etc.)
Insurance will commence only after the issue of the policy.