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Questionnaires for assessment of insured risk

  • Single item

      POLICYHOLDER:

      PLACE OF INSURANCE (choose one option)

      The insured object(s) are located on a specific territory during the period of insurance; please indicate the insurance territory

      Republic of Estonia
      European Union (including Norway and Switzerland)
      Baltic States
      Republic of Estonia and Scandinavia
      Other

      The insured object(s) are located at a specific address during the period of insurance (e.g. the territory of the company or a construction site)

      DAMAGE STATISTICS

      Has any previous damage been incurred in relation to the insured object(s) in the last three years?

      Yes
      No

      INSURED OBJECT

      Type and amount of deductible

      Fixed
      640
      1600
      3200
      Other
      Percentage

      Beneficiary

      Security and surveillance conditions during off-hours (choose one option)

      The territory of the place of storage is fenced and under surveillance (physical and/or electronic surveillance)
      The place of storage is under surveillance (physical and/or electronic surveillance)
      Other security or surveillance
      The storage place has no security or surveillance

  • Machinery and equipment

      POLICYHOLDER:

      PLACE OF INSURANCE (choose one option)

      The insured object(s) are located on a specific territory during the period of insurance; please indicate the insurance territory
      Republic of Estonia
      European Union (including Norway and Switzerland)
      Baltic States
      Republic of Estonia and Scandinavia
      Other
      The insured object(s) are located at a specific address during the period of insurance (e.g. the territory of the company or a construction site)

      DAMAGE STATISTICS

      Has any previous damage been incurred in relation to the insured object(s) in the last three years?

      Yes
      No

      KINDLUSTATUD ESE

      Security and surveillance conditions during off-hours (choose one option):
      The territory of the place of storage is fenced and under surveillance (physical and/or electronic surveillance)
      The place of storage is under surveillance (physical and/or electronic surveillance)
      Other security or surveillance
      The storage place has no security or surveillance

      Type and amount of deductible

      Fixed
      640
      1600
      3200
      Other
      Percentage

      Beneficiary

      List of insured objects:

      1.
      2.
      3.
      4.

PZU is AB "Lietuvos draudimas" Estonian Branch trademark in Estonia. AB "Lietuvos draudimas" is Lithuanian insurance company, that is part of the international PZU Group. Before entering into an insurance contract, please examine the terms and conditions or dial +372 622 4599 for additional information.