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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.