Short Term Insurance

Commercial Insurance

Your house or buildings, vehicle, personal and business items are all a vital part of your life. If anything happens to them you can have peace of mind, knowing that you are properly protected.

Personal Insurance

For a personal insurance quote please complete the form below or download the new business questionnaire and email to stpquotes@helfin.co.za.

If you have a claim, please complete the claim application form and we will contact you to assist.

Claim Application

Short Term Insurance: New Business Questionaire

For a personal insurance quote please complete the form below or download the new business questionnaire and email to stpquotes@helfin.co.za.

Download Document (New Business proposal)

NEW BUSINESS QUESTIONAIRE

APPLICANT

Surname

Occupation

ID Number

Marital status

Telephone nr (W)

Cell phone nr

Initials

Gender

Language

Title

House nr

E-mail

Street address

GENERAL

1. Has an insurer ever refused any proposal of yours, cancelled any policy (or section thereof), refused to renew any policy ( or section thereof) or imposed any special conditions? If YES supply full details:

2. Are you currently insured against the risks you are applying for now?

3. If you are currently not insured but were previously, please provide the following:

Last date of insurance

Name of insurer

I confirm that I have had no claims in the last 5 years

4. Please supply full details of all loses you have experienced during the last 5 years:

TYPE OF LOSS

YEAR

AMOUNT

INSURER

HOUSE CONTENTS

Type of residence

Risk address

Construction of roof

Type of dwelling

Accidental damage

Burglar bars in front of all window that can open

Alarm

Construction of wall

Use of residence

Sum insured:

Security gates in front of all external doors

Security area

ALL RISKS

Description

Insured amount

BUILDING

Type of residence

Construction of walls

Accidental damage to machinery

Risk address

Construction of roof:

Estimated Replacement Value

VEHICLES

Registered owner

Model

Class of use

Sum insured: Its brand new

VESA approved immobiliser

Yes

Tracking Device

Yes

Car hire

Yes

Vehicle breakdown service

Yes

Financially dependent child

Where is the vehicle parked at night?

Type of cover

Additional extras

VESA approved gear lock

Yes

Top-up

Yes

Waiver of excess

Yes

DETAILS OF CARAVAN/TRAILER

Registered owner

Make

Sum insured

Type

Contents

Year

DETAILS OF MOTORCYCLE

Registered owner

Type of cover

Make

Class of use:

Year of manufacture

Model

Sum insured

PERSONAL LEGAL LIABILITY

R 5,000,000

EXTENDED PERSONAL LEGAL LIABILITY

R 10,000,000

SASRIA will be added to all sections unless declined in writing

Please note that by submitting the form we will process your information for the relevant party to be in contact with you. All information is kept private and confidential during this process. Please refer to our Privacy Policy

Commercial Insurance

Personal Insurance

Short Term Insurance: New Business Questionaire

Tax & Accounting

Investing

Group Benefits