Weather Index Questionnaire

Location(s) to be Insured

Co-ordinates of the Insured's Location(s)

Address / Name of Location
Latitude
Longitude

Address / Name of Location *
N/A
Latitude *
N/A
Longitude *
N/A

How to find the coordinates of a location? 1. On your computer, open Google Maps. 2. Right-click the place or area on the map. 3. Select ‘What’s here’. 4. At the bottom, you will see a card with co-ordinates.

Period of Insurance

Start Date *

dd/MM/yyyy

End Date *

dd/MM/yyyy

Perils to be Insured

If Rain:

Accumulated Rain below: *

Accumulated Rain above: *

If Temperature:

Temperature below:

Temperature above:

If Solar Exposure:

Total solar energy below (MJ/m2): *

Limit Insured

Limit Insured *

If other, please advise: *

Other Insurer *

Weather Index Questionnaire

Your Details

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