The Insurance Declaration Form is a crucial document required under Maltese insurance law for establishing the basis of an insurance contract. It serves as the primary tool for collecting material information about the risk to be insured, whether for individual or corporate policies. The form must comply with the Insurance Business Act (Chapter 403) and Insurance Distribution Act (Chapter 487) of Malta, as well as relevant EU directives. It is designed to capture accurate and complete information about the subject matter of insurance, enabling insurers to properly assess risks and determine appropriate coverage terms. The document includes mandatory disclosures, risk-specific questions, and declarations that form the foundation of the insurance contract, with any misrepresentation potentially affecting the validity of the policy.
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1. Personal Information: Policyholder's details including full name, address, contact information, and identification numbers as required by Maltese law
2. Insurance Product Details: Specific information about the type of insurance being applied for, including coverage limits and deductibles
3. Risk Assessment Questions: Standard questions about risk factors relevant to the insurance type being sought
4. Claims History: Declaration of previous claims and losses across all relevant insurance types
5. Health and Safety Declarations: General declarations about health status or safety measures relevant to the insurance type
6. Disclosure Statement: Statement confirming all information provided is true and complete
7. Data Protection Notice: GDPR-compliant statement about how personal data will be collected, used, and protected
8. Consent Section: Explicit consents required under Maltese law for data processing and information sharing
9. Signatures: Space for policyholder signature and date, with witness requirements if applicable
1. Medical History: Detailed medical questions for health-related insurance products
2. Property Details: Specific section for property insurance applications including building details and security measures
3. Vehicle Information: Details required for motor insurance applications including vehicle specifications and usage
4. Business Operations: For commercial insurance applications, details about business activities and risk management
5. Additional Insured Parties: Section for adding other individuals or entities to be covered by the policy
6. International Coverage: Additional declarations required for insurance coverage extending beyond Malta
7. Previous Insurer Details: Information about previous insurance policies and providers
1. Schedule A - Premium Calculation: Detailed breakdown of premium calculations and payment terms
2. Schedule B - Coverage Details: Comprehensive list of what is covered and excluded under the policy
3. Schedule C - Risk Assessment Matrix: Detailed risk evaluation criteria and scoring system
4. Appendix 1 - Supporting Documentation Checklist: List of required supporting documents based on insurance type
5. Appendix 2 - Terms and Conditions: Standard terms and conditions applicable to the specific insurance product
6. Appendix 3 - Privacy Notice: Detailed privacy policy and data protection information as required by GDPR
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