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Insurance Proposal Form

Insurance Proposal Form Template for Belgium

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Key Requirements PROMPT example:

Insurance Proposal Form

"I need an Insurance Proposal Form for a Belgian real estate company with multiple commercial properties across Brussels and Antwerp, to be effective from March 2025, that includes specific sections for flood risk assessment and tenant liability coverage."

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Document background
The Insurance Proposal Form is a fundamental document in the Belgian insurance market, designed to initiate the insurance contract formation process. It serves as the primary tool for collecting relevant information about potential policyholders and their insurance needs, enabling insurers to assess risks and determine appropriate coverage terms. This document must comply with the Belgian Insurance Act of 2014, EU regulations including GDPR, and specific requirements set by the Financial Services and Markets Authority (FSMA). The form is typically used when individuals or businesses seek new insurance coverage or want to modify existing policies, requiring detailed disclosure of material facts that could influence the insurer's decision to provide coverage.
Suggested Sections

1. Proposer Details: Basic information about the applicant including full name, address, contact details, and business/occupation

2. Type of Insurance Required: Specification of the type of insurance coverage being sought

3. Risk Details: Detailed information about the subject matter to be insured

4. Claims History: Declaration of previous claims and losses in the last 5 years

5. Current Insurance Arrangements: Details of existing or previous insurance coverage

6. Material Facts Disclosure: Section for declaring any material facts that could influence the insurer's decision

7. Payment Information: Preferred payment method and frequency details

8. Declaration: Final statement confirming accuracy of information and understanding of obligations

9. Data Protection Notice: GDPR-compliant information about how personal data will be processed

10. Signature Section: Space for date, signature, and capacity of signatory

Optional Sections

1. Co-Insurance Details: Required when multiple parties need to be insured under the same policy

2. Professional Qualifications: Needed for professional liability insurance proposals

3. Security Measures: Required for property insurance to detail security systems and risk mitigation measures

4. Health Declaration: Required for health or life insurance proposals

5. Vehicle Details: Required for motor insurance proposals

6. Property Description: Required for building or contents insurance

7. Employee Information: Required for employer's liability insurance

8. International Coverage: Required when insurance coverage extends beyond Belgium

Suggested Schedules

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

2. Schedule B - Privacy Notice: Detailed GDPR-compliant privacy notice and data processing information

3. Schedule C - Claims Declaration Form: Detailed form for declaring previous claims history

4. Schedule D - Value Declaration: For declaring values of property or items to be insured

5. Appendix 1 - Supporting Documents Checklist: List of required supporting documents based on insurance type

6. Appendix 2 - Terms and Conditions: Standard terms and conditions applicable to the proposal

7. Appendix 3 - Premium Calculation Guide: Information about how premiums are calculated

8. Appendix 4 - Language Selection Form: Form for selecting preferred language of communication as per Belgian language laws

Authors

Alex Denne

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

alex.den.21@genieai.co
Relevant legal definitions








































Clauses






























Relevant Industries

Insurance

Financial Services

Banking

Real Estate

Manufacturing

Retail

Healthcare

Professional Services

Construction

Transportation

Agriculture

Education

Hospitality

Technology

Energy

Relevant Teams

Legal

Compliance

Risk Management

Underwriting

Sales

Customer Service

Claims Processing

Product Development

Business Development

Policy Administration

Document Management

Quality Assurance

Regulatory Affairs

Relevant Roles

Insurance Underwriter

Risk Manager

Compliance Officer

Insurance Broker

Legal Counsel

Claims Manager

Insurance Agent

Business Development Manager

Account Executive

Policy Administrator

Risk Assessment Officer

Insurance Sales Representative

Corporate Insurance Manager

Chief Risk Officer

Insurance Product Manager

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, 聽Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, 聽Severance Pay, Governing Law, Entire Agreemen

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