Intake form

Name *

Email address *

What type of protection are you interested in?

Please select at least one option.

Agriculture

Energy

Cyber

Political Violence

Microinsurance

Commercial Crime

Liabilities

What is your business sector?

What is the primary risk you wish to address?

What is the estimated value of the assets to be insured?

What is your preferred method of communication?

Have you previously worked with a reinsurance firm?

If yes, please provide details about your experience.

What is your geographical area of operation?

What additional services are you interested in?

Please select at least one option.

Risk Assessment

Consulting Services

Claims Management

Custom Coverage Solutions

Training and Support

Additional questions or comments

Aurelian Re