Forms used to submit information to your Underwriter are provided here in both MS Word and Adobe PDF format. Wherever possible, forms should be downloaded, completed electronically and emailed to your Underwriter.
| Using the forms |
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MS Word
This is the preferred format. If you use MS Word, these forms can be completed electronically and emailed as an attachment to your Underwriter. No signature is required using this method of completion.
| PDF (Adobe Acrobat) |
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| If you are unable to use MS Word, the PDF forms can be accessed using the Adobe Acrobat Reader (v5 and above). This software can be obtained without charge from the Adobe web site by clicking on the icon opposite. |
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Using Acrobat, the form can be completed online and then printed, or printed and completed by hand. Completed forms can be forwarded by post or scanned and sent to your Underwriter as an email attachment. Either way, the completed form must be signed. |
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Should you experience any problems, please contact us using the feedback form.
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U.S Voyage Quarterly Declaration Forms
A declaration should be made for any cargo voyage involving loading or discharging cargo at any port or place in the USA or within EEZ as defined in the OPA 1990. USA includes District of Columbia, Puerto Rico, Guam, American Samoa, U.S. Virgin Islands and Northern Marianas. Please refer to the attached instructions for details on how to complete this form.
 U.S Voyage Form -MS Word Format
U.S Voyage Form -PDF Format
Laid Up Return Forms
If an entered ship shall be without cargo and so remain in any safe port or place for a period of 30 or more consecutive days after finally mooring there (such period being computed from the day of arrival to the day of departure, one only being included) the Member shall be allowed a return of Mutual Premium.
2009 Laid Up-Return Form - MS Word Format
2009 Laid Up Return Form -PDF Format
2010 Policy Year
In respect of the 2010 policy year the Lay-up Rule has been enhanced and Members should review Rule 33. In particular the following notification requirements should be noted:
Where it appears likely that the vessel will be so laid up for a period of 30 or more consecutive days and whether or not an application for laid up returns is made or anticipated to be made in accordance with this Rule:(a) The Member must forthwith notify the Managers in writing in a form required by the Managers, specifying amongst other things the location, the mooring and crewing arrangements and anticipated duration of such lay up;
Unless the Directors shall in their absolute discretion otherwise determine, no claim shall be admitted for laid up returns unless the claim is made within three months of the end of either the vessel’s lay up or the applicable policy year, whichever shall first occur.
Where an entered ship has been laid up for a period of 30 or more consecutive days, regardless whether any part of that period precedes the ship’s entry in the Club and whether or not the Member has sought laid up returns in accordance with this Rule, the Member shall give notice to the Managers not less than 14 days prior to the date when the ship sails from the place of lay up, and the Managers shall be entitled to survey any such ship prior thereto or afterwards.
2010 Laid Up Return Form -MS Word Format
2010 Laid Up Return Form -PDF Format
Blue Card Letter of Indemnity
If Members wish to receive Blue Cards from the Association for the next policy year prior to agreeing renewal of their vessels' P&I cover, then a letter of indemnity must be provided to the Association on the headed paper of the Principal Member and on the unamended wording which can be downloaded here. Please send this letter to your Syndicate Underwriting team along with your request for new Blue Cards.
Blue Card Letter of Indemnity -Word Format
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