CFC Property and Casualty UK v1.0
CFC Underwriting Limited is Authorised and Regulated by the Financial Conduct Authority
©2018 CFC Underwriting Ltd, All Rights Reserved
SECTION 6: CLAIMS EXPERIENCE AND INSURANCE HISTORY
AFTER FULL ENQUIRY:
a) are you aware of any circumstances which may give rise to a claim under this policy, or
b) has any principal, partner, director or officer of the companies to be insured, or the companies themselves, been found guilty
of any criminal, dishonest or fraudulent activity or been investigated by any regulatory body, or
c) are you aware of any loss or damage, whether insured or not, that has occurred to any of the companies to be insured within
the last 5 years?
With reference to questions a), b) and c) above:
If the answer to the above is ‘yes’ then please attach full details including an explanation of the background of events, the
maximum amount involved or claimed, the status of the claims or circumstances and any reserves or payments made by you or
by insurers, and the dates of all developments and payments.
I declare that:
• after full enquiry the answers to the questions contained in this application form, and any other information supplied by me,
are substantially true, accurate and correct;
• I will inform underwriters before cover incepts of any change to the information supplied by me; and
• I understand that if any of the information contained in this application form or provided elsewhere is substantially untrue,
inaccurate or incorrect, or I have not disclosed any other information that is material, the Policy may be avoided without any
return of premium, the terms and conditions may change, a higher premium may become payable or we may reduce the
amount of any claim payment.
5.3 When would you like your insurance to start?
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