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Insured
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Aircraft
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Pilots
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Additional
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Aircraft Insurance
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PlaneCover only provides coverage for Australian based operations.
I confirm that all flights will be conducted within Australia.
Please list each/all Aircraft you wish to insure
Please list each/all Pilots for the aircraft(s)
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Confirm No to all of the below:


Do you have a current Policy in place?
Expiry Date

Are any proposed aircraft currently for sale, pending sale, or is there an intention for the policy period to be less than 12 months?
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Has the Insured and/ or Operator and/ or any pilot(s) had any aircraft claims, accidents or incidents in the last 5 years, regardless if a claim was made?
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Have any pilot(s) named been convicted of a breach / violation of air navigation safety regulations?
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Have any pilot(s) named ever been convicted of driving whilst intoxicated (drugs and/or alcohol)?
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Have any pilot(s) named ever had their license suspended or cancelled?
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Do any pilot(s) named have any physical impairments, waivers, or limitations on their medical certificate? (not including the requirement for corrective lenses)
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Do any of the aircraft have any unrepaired damage?
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Has any insurer cancelled, declined or refused to renew any insurance policy for any of these aircraft or pilots?
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Has any aircraft been modified in any way or fitted with non-standard equipment (including landing gear modifications)?
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