Taillon Assurances Taillon Assurances

Courtier d'assurances et services financiers

Private Aircraft application form
Current Insurance Coverage
Use of Aircraft
Training
Aircraft details
RegistrationMake & modelYear builtPass seats
Value of the aircraft including the equipment
LandplaneSkiplaneFloatplane
Pilot details
Pilot 1Pilot 2Pilot 3Pilot 4Pilot 5
Name
Occupation
Date of birth
License/Ratings
Accidents, claims or violations last 5 years
Recurrent training in the last 12 months
Total hours any aircraft
Total hours on make and model
Total float time
Total retractable time
Total tailwheel time
Total mutli engine time
Total turbine time
Total rotary
Total last 90 days
Total last 12 months
Total last 12 months on make and model
Accidents / Violations
Coverage requirements
Hull
Liability