Online Quotation

Get your online quotation for Vehicles, Fire and Perils, and Contractor’s All Risks. Please note that capita Insurance Brokers property insurance business is confined to the island of Barbados only.

Contractors All Risk Insurance Application Form

To contact us by email, please complete the form below:

Insurance Application Forms

Private Vehicle Insurance

Title(Required)

First Name(Required)

Surname(Required)

Present Address(Required)

Country(Required)

Tel

Fax

Email(Required)

Cover required(Required)

Comprehensive

Third Party

Fire and Theft

Other

Additional Optional Benefits

Riots and Strike Cover

Malicious Damage

Flood, earthquake, hurricane

Windscreen Cover

Vehicle Details

Make(Required)

Type of body(Required)

Cubic Capacity(Required)

Date of manufacture(Required)

Registered letter & numbers(Required)

Engine numbers(Required)

Chassis number(Required)

Date of purchase and price paid(Required)

Estimated present value including accessories(Required)

Seating capacity (including driver)(Required)

Name and address of mortgagee or other interest

Is the proposer entitled to a No Claim Discount from previous insurers in respect of this vehicle(Required)

Commercial Vehicle Insurance

Title(Required)

First Name(Required)

Surname(Required)

Company Name(Required)

Present Address(Required)

Country(Required)

Tel

Fax

Email(Required)

Cover required(Required)

Comprehensive

Third Party

Fire and Theft

Other

Vehicle Details

Make(Required)

Type of body(Required)

Cubic Capacity(Required)

Date of manufacture(Required)

Registered letter & numbers(Required)

Engine numbers(Required)

Chassis number(Required)

Date of purchase and price paid(Required)

Estimated present value including accessories(Required)

Seating capacity (including driver)(Required)

Vehicle Use(Required)

Goods Only

General Cartage

Carriage of Passengers

Fire and Perils Insurance

Title(Required)

First Name(Required)

Surname(Required)

Company Name

Present Address(Required)

Country(Required)

Tel

Fax

Email(Required)

Property Details

Property Address(Required)

Type of Building(Required)

Construction Type(Required)

Building Value(Required)

Contents Value(Required)

Coverage Required(Required)

Fire

Hurricane

Flood

Earthquake

Malicious Damage

Riot and Strike

Home Owners Insurance

Title(Required)

First Name(Required)

Surname(Required)

Present Address(Required)

Country(Required)

Tel

Fax

Email(Required)

Property Details

Property Address(Required)

Construction Type(Required)

Year Built(Required)

Building Value(Required)

Contents Value(Required)

Coverage Required(Required)

Fire

Hurricane

Flood

Earthquake

Malicious Damage

Public Liability

Contractors All Risk Insurance

Title(Required)

First Name(Required)

Surname(Required)

Company Name(Required)

Present Address(Required)

Country(Required)

Tel

Fax

Email(Required)

Project Details

Project Name(Required)

Project Address(Required)

Project Description(Required)

Project Start Date(Required)

Project End Date(Required)

Contract Value(Required)

Title(Required)

First Name(Required)

Surname(Required)

Company Name(Required)

Present Address(Required)

Country(Required)

Tel

Fax

Email(Required)

Project Details

Project Name(Required)

Project Address(Required)

Project Description(Required)

Project Start Date(Required)

Project End Date(Required)

Contract Value(Required)

Coverage Required(Required)

Contract Works

Third Party Liability

Construction Plant and Equipment

Workmen Compensation

Principal Contractor(Required)

Sub-Contractors (if any)

Additional Comments

Insurance Application Forms

Private Vehicle Insurance

Title(Required)

First Name(Required)

Surname(Required)

Present Address(Required)

Country(Required)

Tel

Fax

Email(Required)

Cover required(Required)

Comprehensive

Third Party

Fire and Theft

Other

Additional Optional Benefits

Riots and Strike Cover

Malicious Damage

Flood, earthquake, hurricane

Windscreen Cover

Vehicle Details

Make(Required)

Type of body(Required)

Cubic Capacity(Required)

Date of manufacture(Required)

Registered letter & numbers(Required)

Engine numbers(Required)

Chassis number(Required)

Date of purchase and price paid(Required)

Estimated present value including accessories(Required)

Seating capacity (including driver)(Required)

Name and address of mortgagee or other interest

Is the proposer entitled to a No Claim Discount from previous insurers in respect of this vehicle(Required)

Commercial Vehicle Insurance

Title(Required)

First Name(Required)

Surname(Required)

Company Name(Required)

Present Address(Required)

Country(Required)

Tel

Fax

Email(Required)

Cover required(Required)

Comprehensive

Third Party

Fire and Theft

Other

Vehicle Details

Make(Required)

Type of body(Required)

Cubic Capacity(Required)

Date of manufacture(Required)

Registered letter & numbers(Required)

Engine numbers(Required)

Chassis number(Required)

Date of purchase and price paid(Required)

Estimated present value including accessories(Required)

Seating capacity (including driver)(Required)

Vehicle Use(Required)

Goods Only

General Cartage

Carriage of Passengers

Fire and Perils Insurance

Title(Required)

First Name(Required)

Surname(Required)

Company Name

Present Address(Required)

Country(Required)

Tel

Fax

Email(Required)

Property Details

Property Address(Required)

Type of Building(Required)

Construction Type(Required)

Building Value(Required)

Contents Value(Required)

Coverage Required(Required)

Fire

Hurricane

Flood

Earthquake

Malicious Damage

Riot and Strike

Home Owners Insurance

Title(Required)

First Name(Required)

Surname(Required)

Present Address(Required)

Country(Required)

Tel

Fax

Email(Required)

Property Details

Property Address(Required)

Construction Type(Required)

Year Built(Required)

Building Value(Required)

Contents Value(Required)

Coverage Required(Required)

Fire

Hurricane

Flood

Earthquake

Malicious Damage

Public Liability

Contractors All Risk Insurance

Title(Required)

First Name(Required)

Surname(Required)

Company Name(Required)

Present Address(Required)

Country(Required)

Tel

Fax

Email(Required)

Project Details

Project Name(Required)

Project Address(Required)

Project Description(Required)

Project Start Date(Required)

Project End Date(Required)

Contract Value(Required)

Title(Required)

First Name(Required)

Surname(Required)

Company Name(Required)

Present Address(Required)

Country(Required)

Tel

Fax

Email(Required)

Project Details

Project Name(Required)

Project Address(Required)

Project Description(Required)

Project Start Date(Required)

Project End Date(Required)

Contract Value(Required)

Coverage Required(Required)

Contract Works

Third Party Liability

Construction Plant and Equipment

Workmen Compensation

Principal Contractor(Required)

Sub-Contractors (if any)

Additional Comments

Insurance

Online Quotation

Contractors All Risk Insurance Application Form

Insurance Application Forms

Private Vehicle Insurance

Additional Optional Benefits

Vehicle Details

Commercial Vehicle Insurance

Vehicle Details

Fire and Perils Insurance

Property Details

Home Owners Insurance

Property Details

Contractors All Risk Insurance

Project Details

Project Details

Insurance Application Forms

Private Vehicle Insurance

Additional Optional Benefits

Vehicle Details

Commercial Vehicle Insurance

Vehicle Details

Fire and Perils Insurance

Property Details

Home Owners Insurance

Property Details

Contractors All Risk Insurance

Project Details

Project Details

Useful Information

Contact Information