Velos :: Marine Insurance Specialists


Shipment Details

Nature of Business:		Type of Goods to be Shipped*:

	Full Description of Packaging:



Are the goods containerised*:			Yes No

If yes, full container or part container loads:

Method of transportation*:		If by Sea, name of vessel:

Voyage:
To*:		From*:


Cover Details

Basis of Valuation:

Sum Insured*:		Currency*:

Have you had any previous claims*?			Yes No

	If yes, please provide details in the box below including the date & value of each claim.



	Any additional information, or if your preference isn't included in the above sections then please make a note here:



Where did you hear about Velos*:

	Once you are happy your details are correct, click 'Submit Enquiry' to submit your enquiry to Velos Insurance Services. We will endeavour to respond to your enquiry within two working days. * these fields are compulsory.