International Trade Credit Insurance Open Cover Questionnaire

Open Cover Questionnaire

If you prefer to contact us to discuss your Trade Credit Insurance, then please send an email to info@fp-marine.com or call your nearest FP Marine Risks' office.

Assured & Contact Information

Company Name

Address

City

State/Province

Zip/Postal Code

Country

Phone Number

Email

Main Business Activity

Contact Name

Position



Cover

Annual Turnover to insure (excluding letters of credit and cash sales)
Number of buyers
Terms of payment (maximum) i.e. 90 days end of month

Top 10 Buyers

Please detail your top 10 buyers with their address, the credit limit required and details of their past defaults, if any:

Name Address Credit Limit Required Past Losses (USD and number)

Please advise which sector your buyers trade in and the goods supplied:

Do you sell to any other countries other than those named in the table above? If so, please advise which countries:

Are any accounts more than 60 days overdue? If so, please provide the names, addresses and amount:

Other Information

Please provide the following

Name Position
Company Telephone
Email Date

Important Note: The questions contained in this form are designed to give insurers information regarding your business. It may not address every aspect and it is your duty to disclose all material information to insurers that may affect the premium or conditions.