International Trade Credit Insurance Single Risk 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.
Contact Information
Contact Name
Address
City
State/Province
Zip/Postal Code
Country
Phone Number
Email
Company Website
Main Business Activity
Date Established
Parent Company
Position
Debtor Information
Debtor Name
Website Address
Contract Details
Limit Required:
Description of Goods/Services to be supplied:
Please summarise your conditions of sale and payment terms:
On what basis are credit limits and payment terms established
Please be ready to provide all financial information which you have concerning the buyer and any further background material.
Why do you wish to insure this particular transaction?
Have you traded with this buyer before
Yes No
Have payments been received promptly
(If "NO" please provide full details of previous trading experience on a separate sheet)
Debtor balance outstanding as at (dd/mm/yy) // is
Other Information
Please provide any further information that may be material to the insurers:
Please provide the following
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.