Single ship application form

Membership

Company Name: *

Address Line 1:

Address Line 2:

City:

State:

Postcode:

Country:

Main Contact Name: *

Main Contact Tel No(s): *

Main Contact Email: *

My Insurance Broker

Company Name:

Address Line 1:

Address Line 2:

City:

State:

Postcode:

Country:

Main Contact Name: *

Main Contact Tel No(s):

Main Contact Email: *

Ship Details

Name: *

IMO No: *

Built:

Type:

Flag:

Class:

Hull & machinery value: *

Freight & disbursements value:

Increased value:

Cover

Worldwide trading:

Restricted Trading Area only:

Restricted Trading Area: Discounted rates are offered on ships whose trading is restricted to designated areas in N. Europe, N.America and Australasia. Please specify which of these areas applies using Circular C1-2018 as a reference

Frequent or long term operation in AP Areas:

AP Areas: Although cover is usually reinstated for limited periods in these areas, longer term cover can be arranged on request. Please specify for which region the cover may be required using Circular C1-2018 as a reference

PLR Blue card required ?:

Previous war risk claims (If none enter 'None'): *

¹ Restricted Trading Area: Discounted rates are offered on ships whose trading is restricted to designated areas in N. Europe, N.America and Australasia. Please specify which of these areas applies using the latest Rates and Terms Circular as a reference
²AP Areas: Although cover is usually reinstated for limited periods in these areas, longer term cover can be arranged on request. Please specify for which region the cover may be required using the latest Rates and Terms Circular as a reference

Ask the experts

If you have any queries about war risks insurance, call us on +44 20 7283 4646 or e-mail (ukwr@thomasmiller.com) the team .

Fleet enquiries

Please download this excel spreadsheet if you would like to fill out an application form for covering multiple ships.

Once completed, please send it to the team at ukwr@thomasmiller.com.