Proposal Form

If you are interested in receiving an indication of the cost of insuring vessels with Transmarine please complete the online form below.

Assured details
Assured's name*
Address*
Street City ZIP / Postal Code Country
Telephone*
Contact
First Name*
Last Name*
Email*
Broker
Broker Used*
- Yes
- No
Broker's First Name*
Broker's Last Name*
Company*
Broker's Email*
Insurance Class
Please select the class insurance you are interested in.
Class*
- Class 1 - Strikes Insurance
- Class 2 - Trade disruption Insurance for cargo/offshore vessels
- Class 3 - Trade disruption Insurance for passenger vessels
Commodities Carried*
Number of vessels chartered per annum*
Average Charter Duration (Days)*
Daily Insured Sum (US$)*
Description of Trade*
Number of days cover required*
Claims Experience*
Claims Experience*
Claims Experience*
How many vessels do you own*
Please upload a file (we suggest Excel) containing the Vessel Name, IMO, Daily Insured amount.
Upload File*
1. Vessel Name*
1. IMO*
1. Daily Insured Amount*
2. Vessel Name*
2. IMO*
2. Daily Insured Amount*
3. Vessel Name*
3. IMO*
3. Daily Insured Amount*
4. Vessel Name*
4. IMO*
4. Daily Insured Amount*
5. Vessel Name*
5. IMO*
5. Daily Insured Amount*
HnM Insurers
CAPTCHA