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Insurance Declaration Form Template for England and Wales

An Insurance Declaration Form is a legally binding document used in England and Wales that captures essential information about the insured party and the subject matter of insurance. It serves as the basis for the insurance contract, requiring the declarant to provide accurate and complete information under the duty of fair presentation as established by the Insurance Act 2015. The form includes various declarations confirming the truth of statements made and understanding of obligations under the insurance contract.

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What is a Insurance Declaration Form?

The Insurance Declaration Form is a fundamental document in the insurance process under English and Welsh law. It is used when an individual or entity seeks insurance coverage and must provide detailed information about the risk to be insured. The form serves as the foundation for the insurance contract, requiring full disclosure of material facts that could influence the insurer's decision to provide coverage. This document is crucial for compliance with the Insurance Act 2015 and related regulations, ensuring transparency and accuracy in insurance arrangements.

What sections should be included in a Insurance Declaration Form?

1. Personal Details: Basic identification information including full name, address, date of birth, contact details, and any relevant ID numbers

2. Risk Details: Specific information about the subject matter of insurance, including all relevant risk factors and circumstances

3. Coverage Requirements: Details of the type and extent of insurance coverage being sought

4. Declaration Statements: Standard statements confirming the truth and accuracy of information provided, understanding of obligations under Insurance Act 2015

5. Privacy Notice: Information about data processing, privacy rights and consent under UK GDPR/Data Protection Act 2018

6. Signature Section: Space for signature, date, and confirmation of understanding of all declarations made

What sections are optional to include in a Insurance Declaration Form?

1. Medical History: Required for health or life insurance policies - includes details of medical conditions, treatments, and lifestyle factors

2. Claims History: Details of previous insurance claims and losses, typically required for most commercial policies

3. Additional Insureds: Section for listing additional parties to be covered under the policy, including their relationship to the main insured

4. Business Details: Required for commercial insurance - includes business type, turnover, number of employees, and business activities

5. Security Measures: Required for property insurance - details of security systems, fire protection, and risk mitigation measures

What schedules should be included in a Insurance Declaration Form?

1. Schedule of Property: Detailed inventory of insured items including descriptions, values, and locations

2. Schedule of Values: Breakdown of insured values for different items or categories of coverage

3. Supporting Documents Checklist: List of required supporting documentation such as valuations, certificates, or medical reports

4. Risk Assessment Schedule: Detailed evaluation of specific risks and mitigation measures in place

Authors

Alex Denne

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

Jurisdiction

England and Wales

Publisher

Genie AI

Document Type

Insurance Form

Cost

Free to use

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