Valiant House 4 - 10 Heneage Lane, London, EC3A 5DQ | tel: +44(0)207 929 7017 | fax: +44 (0)207 626 1891

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We have not included reinsurance propsal forms for all the types of risk we can place. However if you would like to know if we can help you with a placement, send us a copy of the current/existing terms and conditions or send us a brief submission containing information that provides answers to the following questions. Alternatively, complete the form below:
Name of Ceding Company
Type of Insurance
Name of original insured
Period of Insurance

From
Must be in the format dd/mm/yyyy
To
must be in the format dd/mm/yyyy
Brief description of risk
Location of risk or territory
Sum Insured Please just enter the value.
Deductible
Ceding Company's Retention
Original Gross Rate
Claims Experience
Any other relveant information