Car Insurance Form Template for Indonesia

The Car Insurance Form serves as the primary contractual document between insurance providers and vehicle owners in Indonesia. It is designed to comply with Indonesian insurance regulations, particularly Law No. 40 of 2014 and OJK guidelines, while providing comprehensive coverage for motor vehicles. This document is essential when establishing new vehicle insurance policies or renewing existing coverage, containing detailed information about the insured vehicle, coverage terms, premium calculations, and claim procedures. The form is structured to accommodate both private and commercial vehicles, with provisions for various usage scenarios and risk profiles specific to the Indonesian market. It includes mandatory elements required by Indonesian law while allowing for customization based on specific insurance products and policyholder needs.

1. Parties: Identification of the insurance company and the policyholder, including complete legal names and addresses

2. Background: Brief context about the purpose of the insurance contract and its scope

3. Definitions: Clear definitions of key terms used throughout the policy document

4. Vehicle Details: Specific information about the insured vehicle including make, model, year, registration number, and chassis number

5. Coverage Details: Comprehensive explanation of what is covered under the policy, including types of losses and damages

6. Sum Insured: The agreed value of the vehicle and maximum coverage amounts for different types of claims

7. Premium Payment: Premium amount, payment schedule, and payment methods

8. Policy Period: Start and end dates of the insurance coverage

9. Exclusions: Specific circumstances and events not covered by the insurance policy

10. Claims Procedure: Step-by-step process for filing and handling claims

11. Policyholder Obligations: Responsibilities and duties of the policyholder during the policy period

12. Termination Conditions: Circumstances under which the policy can be terminated by either party

13. Dispute Resolution: Procedures for handling disagreements and legal jurisdiction

14. Declaration: Policyholder's confirmation of understanding and acceptance of terms