(619) 222-1944

Roto-Wing Aviation Application

Step 1 of 2

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  • Personal Details

  • Details of Aircraft to be Insured

  • MakeYear of ConstructionLicensed Passenger Seating CapacityRegistration 
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  • Present Value* of AircraftAccessories (Type)Accessories (Value)Total Declared Value 
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  • * You should carefully consider the fact that Robinson R22 and R44 Aircraft are time expired at 2200 hours or 12 years in respect of airframe and engine as this will have an effect on the value of the aircraft.
  • Coverage Required

  • Limit of Indemnity on any one accident
  • or alternatively
  • Limit of Indemnity on any one accident
  • Limit of Indemnity any one Passenger on any one accident
  • NameDate of BirthValid Licences Held 
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  • (List in same order as above)
    Make and Model of Aircraft FlownDate of Last Flight 
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  • (List in same order as above)
    For Make and Model ProposedLogged Hours for all Helicopters 
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