ICPAK Professional Indemnity

Fill the form below to purchase your ICPAK Professional Indemnity Cover.

Secure your peace of mind with our
ICPAK Professional Indemnity Cover. Ready to proceed?

Applicant Type

Applying as *

ICPAK Membership Number *

Personal Details

Proposer Details

KRA PIN No.

ID No/Passport No.

Mobile No.

Email Address

Postal Address: P.O. Box

Town

Questionnaire

Please state, during the past 5 years:

Has the name of the Insured(s) been changed? *

Yes No

Has any other business(es) been purchased, merged or consolidated with the Insured? *

Yes No

Please provide details of any major new operations undertaken during the last 12 months or planned for the next 12 months Maximum 1000 characters

Fee Income

Please give gross fees received during the past five years:

Enter the gross fees for each year (optional)

Year 1 (Most Recent) Amount in KES

Year 2 Amount in KES

Year 3 Amount in KES

Year 4 Amount in KES

Year 5 (Oldest) Amount in KES

Coverage Options

Please give the estimated fees for the coming 12 months (Kshs): * Enter amount in Kenya Shillings

Limit of Liability (KES) *

When would you like the policy to begin?

Start Date

Payment to be made before the starting date. If made after, the policy will commence on the payment date.

Upload Documents

Upload ID/Passport*

Upload KRA Pin Certificate*

Upload ICPAK Membership Certificate*

Allowed file types: PDF, JPEG, PNG only.

Purchasing through an agent?*

Yes No

I confirm that the information I have provided is accurate and complete to the best of my knowledge. I understand that submitting incorrect or incomplete information may result in delays or issues with processing.

I agree and accept the AAR Insurance Privacy Policy and Terms and Conditions.

Secure your peace of mind with our ICPAK Professional Indemnity Cover. Ready to proceed?

Applicant Type

Personal Details

Business Activities

Proposer Details

Questionnaire

Fee Income

Coverage Options

Upload Documents

Secure your peace of mind with our
ICPAK Professional Indemnity Cover. Ready to proceed?