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    Proposal Form Credit Insurance: Your Company

    Uploaded by

    rahul s
    This document is a proposal form for credit insurance that requests information about a company's turnover, payment terms, receivables, losses, top buyers, and other details in order to determine eligibility and the most suitable insurance solution. It notes that the provided information will be kept confidential and requires the applicant to declare that all information is complete, true, and will be updated if any material changes occur.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Proposal Form Credit Insurance: Your Company

    Uploaded by

    rahul s
    24 views2 pages
    This document is a proposal form for credit insurance that requests information about a company's turnover, payment terms, receivables, losses, top buyers, and other details in order to determine eligibility and the most suitable insurance solution. It notes that the provided information will be kept confidential and requires the applicant to declare that all information is complete, true, and will be updated if any material changes occur.

    Original Title

    CREDIT PROPOSAL FORM

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    This document is a proposal form for credit insurance that requests information about a company's turnover, payment terms, receivables, losses, top buyers, and other details in order to determine eligibility and the most suitable insurance solution. It notes that the provided information will be kept confidential and requires the applicant to declare that all information is complete, true, and will be updated if any material changes occur.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    24 views2 pages

    Proposal Form Credit Insurance: Your Company

    Uploaded by

    rahul s
    This document is a proposal form for credit insurance that requests information about a company's turnover, payment terms, receivables, losses, top buyers, and other details in order to determine eligibility and the most suitable insurance solution. It notes that the provided information will be kept confidential and requires the applicant to declare that all information is complete, true, and will be updated if any material changes occur.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    PROPOSAL FORM CREDIT INSURANCE

    Please give us the following information allowing us to meet your needs by offering you the most suitable solution. We
    will treat this information in complete confidence.

    YOUR COMPANY

    Corporate legal
    name

    Registered office
    address (for all
    correspondences)
    Corporate fax /
    Corporate phone
    mobile number
    Contact Name &
    Role
    Your trade sector
    Full description of
    trade

    Do you have an existing credit insurance policy? If Yes, name of


    Yes or No the Insurer

    YOUR TURNOVER AND YOUR TERMS OF PAYMENT

    As of last financial
    Standard terms of Longest terms of
    year ending Total turnover Insurable turnover
    payment payment
    (dd/mm/yy)
    (in % of (in % of
    (in days) Insurable (in days) Insurable
    turnover) turnover)
    Domestic
    Export

    Countries where you


    export

    Total Number of
    Active Accounts

    YOUR ACCOUNT RECEIVABLES, LOSSES AND OVERDUES (please state currency, if not USD)

    Debtor Aging (as on date)


    Current - not yet due 1 - 30 days 31 - 60 days 61 - 90 days overdue >91 days overdue
    overdue overdue

    Total amount Outstanding

    Financial year Total losses Number of Largest single loss Overdues not included
    ending on
    defaulting
    (dd/mm/yy) in your losses
    buyers

    Current YTD
    dd/mm/yy
    dd/mm/yy
    dd/mm/yy

    YOUR TOP BUYERS

    Total coverage requested . Generally you should request the amount outstanding at one point of time.

    # Corporate legal name Address Country Amount of cover requested


    1
    2
    3
    4
    5
    6
    7
    8
    9
    10

    OTHER COMMENTS

    DECLARATION

    In order for your insured receivables to be and remain covered under the Policy, you guarantee that the information in
    this Proposal form is complete, true and accurate and that you will immediately notify us of any material change to the
    information supplied or any other fact that may affect the risks insured under the Policy. These guarantees do not limit
    your legal obligation to act with good faith at all times.

    Place ____________________Date ______________

    Signature, Name and position

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