Create a bespoke document in minutes, or upload and review your own.
Get your first 2 documents free
Your data doesn't train Genie's AI
You keep IP ownership of your information
Insurance Declaration Form
"I need an Insurance Declaration Form for a tech startup in Auckland, New Zealand, that will provide comprehensive coverage for our software development business, including cyber liability and professional indemnity, starting from March 2025."
1. Personal/Business Information: Collection of basic details about the insured party including full name, contact information, and relevant identification numbers
2. Insurance Type and Coverage: Specification of the type of insurance being applied for and the desired level of coverage
3. Risk Disclosure: Mandatory disclosure of all relevant risks, previous claims, and material facts that could affect the insurance
4. Claims History: Details of any previous insurance claims made in the last specified period
5. Existing Insurance: Declaration of any existing insurance policies that may be relevant
6. Privacy Statement: Statement about how personal information will be collected, used, and protected as per Privacy Act 2020
7. Declaration and Authorization: Final declaration of truth and accuracy, and authorization for information verification
8. Payment Details: Information about premium payment method and frequency
1. Medical History: Required for health or life insurance applications, including detailed medical conditions and treatments
2. Property Details: Required for property insurance, including building specifications and security measures
3. Vehicle Information: Required for motor vehicle insurance, including vehicle specifications and usage details
4. Additional Insured Parties: Used when multiple parties need to be covered under the same policy
5. Business Operations: Required for commercial insurance, detailing business activities and risk management
6. Overseas Coverage: Required when insurance coverage extends beyond New Zealand
7. Broker Details: Required when the insurance is arranged through an intermediary
1. Schedule A - Asset List: Detailed list of assets to be insured with values and descriptions
2. Schedule B - Claims History Details: Comprehensive breakdown of previous claims including dates, amounts, and outcomes
3. Schedule C - Risk Management Measures: Documentation of existing risk management and security measures
4. Appendix 1 - Supporting Documents Checklist: List of required supporting documents based on insurance type
5. Appendix 2 - Terms and Conditions: Standard terms and conditions applicable to the insurance declaration
6. Appendix 3 - Privacy Policy: Detailed privacy policy explaining how personal information is handled
Authors
Insured
Policy
Premium
Material Facts
Disclosure
Claims History
Sum Insured
Period of Insurance
Risk
Policy Schedule
Excess
Broker
Intermediary
Declaration
Authorized Representative
Additional Named Insured
Policy Beneficiary
Cover
Endorsement
Insurance Contract
Policy Terms
Underwriting
Pre-existing Condition
Policy Exclusion
Loss
Indemnity
Insurance Period
Policy Renewal
Subject Matter of Insurance
Privacy
Disclosure Requirements
Material Facts
Claims History
Authorization
Consent
Declaration of Truth
Data Protection
Information Verification
Duty of Disclosure
Third Party Information
Medical Information Release
Risk Assessment
Premium Payment
Policy Coverage
Exclusions and Limitations
Previous Insurance
Broker Authority
Document Retention
Electronic Communications
Governing Law
Representations and Warranties
Signature and Authentication
Amendments and Updates
Financial Services
Insurance
Healthcare
Real Estate
Manufacturing
Retail
Construction
Transportation
Agriculture
Professional Services
Technology
Education
Hospitality
Mining
Energy
Legal
Compliance
Risk Management
Underwriting
Claims Processing
Customer Service
Operations
Sales
Account Management
Document Management
Quality Assurance
Finance
Administration
Insurance Underwriter
Risk Manager
Compliance Officer
Insurance Broker
Claims Manager
Legal Counsel
Business Development Manager
Account Manager
Policy Administrator
Insurance Agent
Chief Risk Officer
Operations Manager
Financial Controller
Company Secretary
Customer Service Representative
Find the exact document you need
Workers Compensation Exemption Form
A New Zealand legal document enabling workers and employers to opt out of standard ACC coverage under specific circumstances, with alternative compensation arrangements.
Insurance Termination Letter
A formal notice compliant with New Zealand law that terminates an insurance policy and outlines the termination terms and conditions.
Certificate Of Workers Compensation (Insurance)
A New Zealand legal document certifying an employer's workers compensation coverage under ACC and any additional private insurance arrangements.
Insurance Claim Form
A New Zealand-compliant form for submitting insurance claims, designed to capture all necessary information and evidence for claim processing under NZ insurance law.
Insurance Waiver Form
A New Zealand-compliant legal document recording the voluntary waiver of specific insurance rights or claims under New Zealand law.
Accident Claim Form
A New Zealand ACC form for reporting accidents and claiming compensation under the national no-fault accident compensation scheme.
Medical Claim Form
A New Zealand-compliant form for claiming medical expenses from insurers or ACC, incorporating all necessary elements for healthcare reimbursement processing.
Insurance Verification Form
A New Zealand-compliant legal document used to verify and confirm insurance coverage details, policy status, and related information.
Short Term Disability Form
A New Zealand-compliant form for processing short-term disability claims and benefits, ensuring proper documentation and privacy protection under local legislation.
Dental Claim Form
A New Zealand-compliant form for processing dental treatment claims and reimbursements through insurance providers or ACC.
Subrogation Letter
A formal document used in New Zealand to transfer an insured's recovery rights to their insurer after claim settlement, enabling the insurer to pursue compensation from responsible third parties.
Subrogation Form
A New Zealand-compliant legal document that transfers recovery rights from an insured party to their insurer following the payment of an insurance claim.
Health Insurance Cancellation Letter
A formal letter for cancelling health insurance coverage in New Zealand, compliant with local insurance laws and regulations.
Life Insurance Cancellation Letter
A formal letter compliant with New Zealand law for terminating a life insurance policy, including policyholder details and cancellation instructions.
Home Insurance Cancellation Letter
A New Zealand-compliant formal letter template for cancelling home insurance policies, ensuring proper notification and legal requirements are met.
Non Renewal Insurance Letter
A formal notice under New Zealand law informing a policyholder that their insurance policy will not be renewed upon expiration.
Workers Comp Waiver Form
A New Zealand-specific workplace document acknowledging ACC coverage terms and establishing injury management protocols within NZ's no-fault compensation system.
Auto Insurance Cancellation Letter
A formal notice under New Zealand law to terminate an automobile insurance policy, including policy details and cancellation instructions.
Transfer Of Insurance Form
A New Zealand-compliant legal document used to transfer insurance policy rights and obligations from one policyholder to another.
Insurance Proposal Form
A New Zealand-compliant form for collecting essential risk information from potential insurance clients to facilitate underwriting decisions.
Insurance Cancellation Form
A New Zealand-compliant form for formally requesting and processing the cancellation of an insurance policy.
Insurance Declaration Form
A New Zealand-compliant declaration form capturing essential information for insurance risk assessment and policy issuance.
Download our whitepaper on the future of AI in Legal
Genie’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; Genie’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
Our bank-grade security infrastructure undergoes regular external audits
We are ISO27001 certified, so your data is secure
Organizational security
You retain IP ownership of your documents
You have full control over your data and who gets to see it
Innovation in privacy:
Genie partnered with the Computational Privacy Department at Imperial College London
Together, we ran a £1 million research project on privacy and anonymity in legal contracts
Want to know more?
Visit our Trust Centre for more details and real-time security updates.
Read our Privacy Policy.