Cash-In-Transit Proposal Form

Broker Details *

Client Details *

Have you been given notice by your current / previous insurer for increased terms, or notice to cancel your policy? *

Yes
No

Type of Business *

Cash in transit Service provider / Cash processing centre
Security company providing CIT Services
Owner of the cash
Provider of Cash acceptance Devices/safes on behalf of clients

If you are the owner of the cash, what is the nature of your business?

Cover Required

Cash in cash register/point of sale
Cash in Cash office
Cash in safe at customer’s premises
Cross Pavement carry value
Cash in transit per vehicle per transit
Cash in storage at Security company’s vault

Safe Category (Please select one)

Replacement Value of Safe / Hardware

Cover Commencement Date?

Section A – to be completed if you are the cash in transit / security company / cash processing company:

Which option best describes your service level agreement / cash in transit & cash processing offering with your customers?

End to end: Includes cash in safe at customer premises, device itself, collection, transit & until delivered to the bank
Transit only: From time of signed collection at customer premises & until delivered to the bank
Static only: Device & cash in device at declared customer’s premises

Section B - to be completed if you are the owner of the cash:

Please indicate if you have more than one location / branch

Yes
No

Name of the cash in transit company(s)

G4S Cash Solutions
Fidelity Cash Solutions
SBV
IZI Cash
Cash Automation
Other

Number of weekly cash collections from your premises:

Type of Cover Required - Select only what is applicable *

Transit Only: Once collected by the c.i.t security company, in transit & until delivered to the nominated bank
Transit & onsite: Whilst in the device / safe at your declared premises, & including the above collection & transit
Device included: Loss & damage to the device / safe itself

Section C – Claims / Loss history

Section D – Security measures at location/s (if applicable) *

Fence/barbed wire/palisades etc.
Iron Rod/Bar gate
Alarm system
Alarm system linked to armed response
Panic Button
Restricted access to cash office
Any other security related preventative measures

Section E – Material facts disclosure & declaration of proposer

Details of previous insurance

I hereby declare that all statements made herein are true and correct and that there are no other material facts regarding the risk that should be disclosed. I further agree that if any statement or particulars herein supplied by any person other myself, that the person shall be deemed to have been acting as my agent for the purpose of this proposal. *