Ocean Cargo Single Voyage Application Form
	Insured:
	Address:
	Loss Payee:
	Commodity:
	Packing Details:
	Shipped:	In Container Bulk Break Bulk On Deck Under Deck
	Voyage:	Point of Origin: Via Ports of: Final Destination:
	Insured Value:	Invoice Value $ + Freight $ + Duty $ = Total Insured Value $
	Date of Sailing:
	Name of Carrying Vessel:
	How Long has the Insured been shipping commodities of this nature?
	Has the Insured had any losses or damages shipping these commodities?
	Remarks/Instruction: