AIRCRAFT RISK QUESTIONNAIRE

You want aircraft insurance with better guarantees at the best price. We offer tailor-made insurance cover :

  • Liability (for damages incurred by passengers and third parties)
  • Hull insurance (for damages incurred by your aircraft)
  • Personal accident insurance for bodily injury suffered by the pilot (cover afforded to a named pilot or the pilot seat, depending on your choice).

Please fill in the following form and we will send you our best quote as soon as possible.

About you
About the owner and the operator of the aircraft
About the aircraft
Please fill out the following form
Aircraft Make/Model Manufacturer Year Registration number Insured value (Euro) MTOW (kg)
City Country Is it hangared ?
Where is the aircraft based ?
About the coverages
For what did you plan to use the aircraft ?
USES Estimated Flight hours per year Details
Private and leisure flights
YES
NO

Continuation and renewal of qualification
Advanced training
Other
Business flights
YES
NO
Public transport for Passengers
YES
NO
First flights / trial flights
YES
NO

Not for profit trial flights
Paying trial flights
Mountain flights, Altiport, alti-surface, or glacier take-off and/or landing with skis
YES
NO

Altiport
Alti-surfaces
Glacier
Landing with ski
Instruction flights (any type)
YES
NO
Instruction flights excluding Ab Initio instruction
YES
NO
All club/school uses (If yes, please give full details in the details box)
YES
NO
Rental / Hire / Lease (If yes, please give full details in the details box)
YES
NO
About the pilot(s)
Please fill out the following chart
NAME – FIRST NAME Date of birth Qualification And validity of the PPL (A) Total hours on fixed-wing aircrafts Hours on type (as of aircraft planned delivery date)
CLAIMS HISTORY

About your insurance coverage : Please choose the guarantees you need:

Minimum legal requirement:

Additionalguarantees :

  

Please choose whichoption you prefer :

Please note that it is your duty to disclose all material facts toUnderwriters prior to Inception of the Policy/ies, and to keep them advised ofany changes to such facts or any new such facts throughout the currency of thePolicy, and upon renewal of the Policy.  A material fact is a fact whichmay influence an Underwriter's judgement in their assessment of a risk.  Ifyou are in any doubt as to whether a fact is material we recommend that it bedisclosed.  Failure to disclose material facts may entitle Underwriters toavoid the Policy from Inception or reduce your claims payments, as per articles L 113-8 (avoidance) and L 113-9 (reduction ofclaim payments) of the French Code des Assurances.