Aircraft Proposal Form

(Aircraft Proposal)

    Proposer Details

    Contact Details

    Period of Insurance


    Aircraft Ownership
    Financed or Owned

    Aircraft Details

    Aircraft 1

    Aircraft 2

    Aircraft 3

    Make & Model


    Year of Manufacture


    Date of Purchase

    Passenger Seats (excluding PIC)

    Date of Last maintenance

    Hours Flown in last 12 months

    Hours Flown in next 12 months(estimate)

    Location/Base of aircraft

    Is the aircraft hangared?

    Does the aircraft have any modifications, extra or special equipment?

    Will you be undertaking operations that will require you to have third party property in your aircraft (that would not constitute being passenger baggage or cargo) e.g. cameras, computer equipment, calibration or other equipment whether fixed to the aircraft or not?

    If yes, please provide full details and including items to be insured and replacement value you require these items to be insured for:

    Do any aircraft have unrepaired damage?

    Geographical Limits

    Please show, for each aircraft, the approximate number of hours for each use over the next 12 months




    Private, Pleasure


    Commercial / Charter

    Rental for Private, Pleasure & Business





    Pilot Information

    Piston Aircraft(hours)



    Type of Licence

    Total Time

    Total Time Make & Model

    Total Multi Engine

    Total Retractable Gear

    Total Tail Wheel

    Turbine Aircraft(hours)



    Type of Licence

    Total Time

    Total Pilot in Command

    Total Time Make & Model

    Total Turbine Engine

    Total Jet Time

    Specialist Uses(hours)


    Fire Fighting


    General Station Uses

    Aerial Agricultural

    Slung Operations

    Aerial Survey Work


    Pilot details

    Has any Pilot who will operate any of the proposed aircraft;

    (if the answer is no, please state no)

    Had their licence suspended?

    Been convicted of a Breach of Air Navigation Safety Regulations?

    Been involved in an aircraft incident or accident in the last 5 years?

    Claims / Loss History

    Previous Insurance
    Have you (personally or as a director or partner of a company) held aircraft hull or liability insurance?

    Expiry Date

    Has any insurance ever been cancelled or declined, or renewal refused?

    Aircraft Hull Insurance

    Cover Required (please amend if necessary)

    Please confirm the Hull Agreed Value the aircraft is to be insured for: (Please advise if Insured currency is other than Australian Dollars)

    Aircraft 1

    Flight / Taxiing / Ground

    Aircraft 2

    Flight / Taxiing / Ground

    Aircraft 3

    Flight / Taxiing / Ground

    Cover Required


    For Fixed Wing aircraft – Flight, Taxiing and Ground

    For Rotor Wing aircraft – Flight and ground are amended to Rotors in Motion / Rotors Not in Motion

    For Float/Amphibious aircraft – Ground can be amended to Moored

    Aircraft Liability Insurance

    Liability Limit Required (Please advise if Insured currency is other than Australian Dollars)

    Aircraft 1

    Aircraft 2

    Aircraft 3

    As part of our ongoing commitment to the environment and to deliver faster and more efficient communication with our clients, we are aiming to send all future correspondence electronically. However, if you would prefer to receive a hard copy of correspondence including underwriters’ policy documentation and invoices, please tick the box below.
    I/We would prefer to continue to receive hard copies of all documentation

    Signing this proposal form does not bind you to complete the Insurance but it is agreed that this form shall be the basis of the contract should a Policy be issued.

    I / We hereby declare that the foregoing particulars are true and complete to the best of my / our knowledge and belief and I / we agree that this declaration and the answers given herein and any other written statement made by me / us or on my / our behalf for the purpose of the proposed insurance shall be the basis of, and incorporated in, the contract between me / us and the Insurer.

    Signature of Proposer(s)Date

    After completion, please save this form and then email to

    The liability of the Insurer does not commence until acceptance of the Proposal and cover is confirmed.

    Important Note: Sale of your aircraft - post sale liability

    Please note your Hull & Liability provides no insurance coverage for post sale liabilities for loss or damage caused to third parties in relation to any ownership, maintenance, repair or servicing of your aircraft while you owned or were responsible for the aircraft. Prior to selling your aircraft please refer to our comments on this issue on our website

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