Declaration of Truth Statement
- I declare that, to the best of my knowledge and belief, all the information provided in this application is true and complete.
- I understand and acknowledge that it is my responsibility to exercise reasonable care when answering all questions at the inception of this contract. I further understand that I am required to promptly notify the insurer of any changes to the information provided herein, and that failure to do so may result in the policy being void or not operating to its full effect. I will take all reasonable steps to ensure that any changes to the information provided are disclosed to the insurer, along with any other facts that may impact the acceptance or assessment of my policy.
- I understand that the information I provide in this form, including any details about incidents, may be shared with the insurer and relevant authorities, including a central database and law enforcement agencies, for the purpose of fraud prevention.
- I agree that this declaration, along with all the information I have provided, shall form the basis of the contract between myself and the insurer. If any answer has been completed by someone other than me, I acknowledge that such person is acting as my agent for this purpose.