Welcome to Wehbe Insurance Services

Wehbe Insurance - Home Insurance Quotation

Please fill out the form below to request a quotation.
(All fields marked with * must be completed)
Click here to Download this Proposal in PDF format.

We reserve the right to ask for any additional information, impose special terms or decline.
The completion of the proposal form does not assume automatic acceptance.

Insured's Name:

Email Address:

Complete Postal Address:

Contact Number:

Best Time to Call:

Fax Number:

General Questions:

Is your home built of concrete?	Yes No
Are you the sole occupant?	Yes No
Is your home used solely as a private living accommodation?	Yes No
Has your home been built on reclaimed land?	Yes No
Is your home left unattended for more than 45 consecutive days?	Yes No
Is your home subject to flooding? Near sea/ wadi/ cliff/ excavation?	Yes No
Have you ever suffered any claim?	Yes No
Has any insurer declined/cancelled/imposed special terms of conditions?	Yes No
Have you had any Claims / Losses in the last 3 years: Yes No If Yes, please provide full circumstances of the Claims / Losses in the box below:

Cover 1 - The Building: (At new replacement value).
Value to include outbuilding, garage, fences & landlord’s fittings
Financier’s interest if any e.g. mortgagee, give name address and nature of interest.

BUILDING Sum Insured:

Cover 2 - Contents: (At new replacement value) (within premises only)
To include household goods, furniture, valuables (Not insured under cover 3)
(Note: Items over AED 7500 each to be separately listed)

CONTENTS Sum Insured:

Please list CONTENTS with values in excess of AED 7500 per item.

Cover 3 A- Personal Possessions: (within UAE or 60 days worldwide)
Above AED 2500/- any one item: eg. Expensive clothing & other personal effects.

Personal Possessions Sum Insured:

Cover 3 B - Valuables: (within UAE or 60 days worldwide)
• Clothing, valuables which are defined as articles of precious metal, jewellery, furs,
work of art, coin collections, stamp collections, medals and similar, personal effects
valued above AED 2500 each item.
• Mobiles phones and similar personal electronic equipment, please provide serial
number, make, model & value.
(Note: These are subject to an additional deductible of 20% of the claim amount)

Valuables Sum Insured:

Please list Valuables with values in excess of AED 2500 per item.

Cover 3 C - Sport Equipment: (Please list all items valued over AED 2500)
Note: Not available for windsurfing/winter sports/sub-aqua/mountaineering & potholing equipment.

Please list Sport Equipment with values in excess of AED 2500 per item.

Cover 3 D - Pedal Cycles:
Please provide make, model, serial number & value (AED).

Please list Pedal Cycles:

Cover 4 - Small Craft:
Excluding craftover 16’, sailing dinghies over 16’6”; speed over 17 knots; multi hulls; jet skis or when used for racing.

Class or type of Boat:

Age:

HP of outboard motor:

Vessel / Boat (AED):

Trailer + Fittings (AED):

Please tick for the following additional covers:

Accidental damage to BUILDING and or CONTENTS.
Insurance for Domestic staff.
Travel Insurance.
Personal Accident Insurance.

Important Notice : DECLARATION BY THE INSURED (PLEASE READ CAREFULLY)

In addition to any other details supplied to the Insurers I, the undersigned, also declare that all the details outlined in this proposal are an integral part of the proposed HomeShield Insurance policy and are true to the best of my knowledge and belief.