Forms Centre – Lords Insurance
Welcome to the Lords Insurance Forms Centre. Choose the option you need below to access, complete and submit your forms securely online.
Claim Application Form
Use this section to submit a claim for loss or damage covered under your policy. You will provide your details, select the relevant claim type, download the claim form, complete it and upload the signed copy together with any supporting documents.
Available claim types include:
- Public Liability Claim
- Glass Claim
- Property Loss or Damage Claim
- Worker’s Compensation Claim
- All Risk Claim
- Motor Vehicle Loss or Damage Claim
KYC, Debit Order Authorization & Risk Assessment
This section contains all the forms required for Know Your Customer (KYC), Debit Order Authorization and the Environmental Liability Questionnaire (Risk Assessment).
Know Your Customer (KYC)
- Know Your Customer Form (Individuals)
- Know Your Customer & Data Protection Form (Non-Individuals)
Debit Order Authorization
- Debit Order Authorization – Individuals
- Debit Order Authorization – Non-Individuals
Risk Assessment
- Environmental Liability Questionnaire
Please select the appropriate option (individual or non-individual), download, complete and upload the form together with any required supporting information.
Proposal / Application Forms
Use this section to submit a proposal or application for Lords Insurance products. You will first provide your details, then select and download the relevant proposal form, complete it and upload the signed copy for assessment.
Available proposal / application forms include:
- Domestic/General Form
- Crop Proposal Form
- Contractors All Risks Insurance Proposal
- Marine Cargo Insurance Proposal
- Directors & Officers Liability Insurance Proposal
- Professional Indemnity Insurance Proposal
- Livestock Insurance Proposal
- Group Personal Accident Proposal
- Political Violence Proposal Form
- Performance Bond Application
- Medical Malpractice Application (Non-Specialists)
Need assistance choosing the right form?
Please contact Lords Insurance and our team will guide you through the correct documentation
for your policy and circumstances, or you may also use our chat bot located at the bottom-right corner of the page
for quick assistance and instant support.





