Emergency Assistance
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Cover Details
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Your Details

What type of quote do you need?

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What cover do you need?

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Tell us about your covers

Provide details for each selected cover

Buildings Cover Details

Property Details

Security Details

Financial & Coverage Details

Additional Cover Options

Household Contents Cover Details

Property Details

Security Details

Coverage Details

Note: Limited cover includes cover for all insured events except theft, attempted theft or burglary.

All-Risks Cover Details

Property that is normally carried or worn on a person’s body away from your home. You must keep all jewellery and watches valued at more than the amount stated in the Schedule in a securely locked wall- or floor-mounted safe when not in use.

Specified All Risks

Please note the following items are not covered unless you insure them as specified all risks:

  • vehicle sound equipment
  • computers (as defined, except for its accessories)
  • any telecommunication devices such as cell phones (excluding accessories)
  • rare books, metals, unset precious stones, individual stamps or coins (including Kruger coins)
  • pedal-cycles
  • items kept in a safety deposit box

Please describe each item fully and attach an invoice or valuation certificate for each specified item, and include serial numbers (where applicable).

Category Description Serial no. (where applicable) Value (R)

Items kept in a safety deposit box or private vault

Please list all items that are permanently kept in a safety deposit box in a bank or private vault (this applies to any specified and unspecified all risk items, as well as any household content items.)

Description Sum insured (R)

Personal Computers Cover Details

Cover for your computer, laptop or tablet, as well as any associated accessories; for example a monitor, keyboard, mouse, carrying case or printer. It includes any software supplied by the manufacturer as part of the computer, and any programs or software for which you have a legal licence, provided your sum insured is sufficient.

# Description of item including make and model Serial number Sum insured (R)
1.
2.
3.
4.
5.

Additional cover

List the items you would like covered, and select the applicable additional benefits that must apply to each item. Please specify the cover amount for each selected benefit.

Additional cover type options:
1. Electronic breakdown    2. Ensuring compatibility between your old and new computer    3. Reinstatement of data

Description of item Serial number Type Sum insured (R) Type Sum insured (R)

Personal Accident Cover Details

Please provide the details of any other person you would like to add for personal accident cover. This cover is only available to You, your partner, your children or members of your immediate family, who permanently live with you and/or who are financially dependent on you. An insured person also includes people employed by you at your home, such as cleaners, garden staff, nannies, au pairs, drivers and gardeners. Insured persons must be set out and named in your policy schedule.

Name and surname Identity number Relationship to you
Benefits required (same benefit amounts apply to all persons to be insured)

Motor Cover Details

Note: We do not cover vehicles that are not registered in South Africa, and which do not have a valid licence.

MOTOR VEHICLE 1

MOTOR VEHICLE INFORMATION

Note: If Yes, the quote will be referred.

Aftermarket Accessories

If you want to insure any aftermarket accessories, then please provide a description and value for each item.

Description Sum insured (R)
Additional Cover You Can Choose
Excess Options

Note: The basic excess becomes Nil when the policyholder is aged 55 or older, unless the policyholder opts to pay a voluntary excess.

Information About the Regular Driver

Note: The regular driver is the person who drives the motor vehicle most of the time.

Note: If the regular driver has been convicted of reckless, negligent or drunken driving in the last 5 years, then the quote will be declined.

Motorcycle Cover Details

All fields must be completed if cover is required for a motorcycle. If cover is required for golf carts, quad bikes, motorised lawnmowers or three-wheeled vehicles, then complete only the relevant fields.

MOTORCYCLE 1

MOTORCYCLE INFORMATION

Note: We do not cover vehicles that are not registered in South Africa, and which do not have a valid licence.

Note: If Yes, the quote will be referred.

Note: We don’t cover business or commercial use, which includes (but is not limited to) Ubers and other forms of transport carrying passengers for financial gain.

MOTORCYCLE VALUE

(only applicable to Comprehensive and Third party, fire and theft cover)

Please note: Agreed value applies if the retail value is no longer available.

Note: A valuation certificate is needed for motorcycles insured at an Agreed value.

Aftermarket Accessories

If you want to insure any aftermarket accessories, then please provide a description and value for each item.

Description Sum insured (R)
ADDITIONAL COVER YOU CAN CHOOSE
Excess options

The default basic excess is R3 000. However, when the policyholder is aged 55 or older, the basic excess becomes Nil, unless the policyholder opts to pay a voluntary excess.

INFORMATION ABOUT THE REGULAR DRIVER

Note: The regular driver is the person who rides the motorcycle most of the time

Note: If the regular driver has been convicted of reckless, negligent or drunken driving in the last 5 years, then the quote will be declined.

Caravan and Trailers Cover Details

CARAVAN/TRAILER 1

CARAVAN AND TRAILER INFORMATION

You must give us proof of the value at the start of your cover and every year thereafter, to make sure we cover your caravan/trailer for its latest value. We will accept a valuation certificate from a new vehicle/caravan dealership, or your motor club, as proof of the latest value.

Note: We do not cover vehicles that are not registered in South Africa, and which do not have a valid licence.

Pleasure Craft Cover Details

MOTORS, SAILS AND ACCESSORIES
For motors, please provide the following details:
Type Make Year of manufacture Serial number Horsepower Sum insured (R)
For sails and accessories, please provide the following details:
Type Description Serial number (if relevant) Sum insured (R)

Cyber Insurance Cover Details

Legal Costs Cover Details

Note: The cause for the legal action must have happened after 90 days from when the cover started.

Enroute – Personal Accident Cover Details

Only available if you choose to insure a motor vehicle (excluding motorcycles, trailers and caravans)

Your Details

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